Jordan Eberhart, BA, MHP
Individual provider Active NPI Mental Health Counselor · Vienna, IL
NPI 1982292124 · NPPES record last updated Jan 4, 2021
Key facts
- NPI
- 1982292124
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 101 Oliver St
Vienna, IL 62995-1660 - Phone
- (618) 658-2611
- Fax
- (618) 658-2501
- NPI assigned
- Jan 4, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arrowleaf | Current |
Accepting new patients | |
| Arrowleaf | Mental Health | Past |
Accepting new patients |
Locations
101 Oliver St
Vienna, IL 62995
Phone (618) 658-2611
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
101 Oliver St
Vienna, IL 62995-1660
Mailing address
101 Oliver St
Vienna, IL 62995-1660
Phone (618) 658-2611
Other providers in Vienna, IL
- Monique Davis
- Ansley Daymon
- Jennifer Ann Diers
- Connie Larae Duncan
- Olivia Durapau
- Eric Eblin
- Kimberly Dawn Ecker
- Rachel Ann Edmonds
- Amanda Endrizzi
- Molly Kathleen English
All providers in Vienna, IL · Mental Health Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.