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JUBILEE HOUSE OUTREACH NPI 1215359880


NPI Information

NPI: 1215359880
Provider Name: JUBILEE HOUSE OUTREACH
Classification: Marriage & Family Therapist - 106H00000X
Entity Type: Organization
Address:
417 W COLLEGE AVE
GREENVILLE, IL
ZIP 62246
Phone: (618) 664-2360
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JUBILEE HOUSE OUTREACH is a marriage family therapist in Greenville, IL. The provider is a marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. JUBILEE HOUSE OUTREACH NPI is 1215359880. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

417 W COLLEGE AVE
GREENVILLE, IL
ZIP 62246-020
Phone: (618) 664-2360

The provider's authorized official is George R. Peters .
The authorized official title is Executive Director and has the following contact phone number (618) 664-2360.

The enumeration date for this NPI number is 1/15/2014 and was last updated on 1/27/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselorNo
2101YM0800XCounselorMental HealthNo
3101YP1600XCounselorPastoralNo
4101YP2500XCounselorProfessionalNo
51041C0700XSocial WorkerClinicalNo
6106H00000XMarriage & Family TherapistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.