MICHAEL GARY NPI 1760288716

NPI Information

  • NPI: 1760288716
  • Provider Name: MICHAEL GARY
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 300 N SMITH ST
    CARBONDALE, IL
    ZIP 62901
  • Phone: (618) 353-7245

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NPI Details

Michael Gary is a mental health counselor in Carbondale, IL. Michael Gary NPI is 1760288716. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

300 N SMITH ST
CARBONDALE, IL
ZIP 62901-131
Phone: (618) 353-7245

The enumeration date for this NPI number is 2/20/2025 and was last updated on 2/20/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)ILLINOISNo
2101YM0800XCounselorMental Health178.020293ILLINOISYes

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: 11/21/2025

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