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MR. NATHAN BIGGERSTAFF ANDREW BIGGERSTAFF QMHP
NPI 1073318135
Counselor - Mental Health in Mount Vernon, IL

Active since February 13, 2025
4805 BROADWAY ST STE C, MOUNT VERNON, IL 62864(186) 417-4817 Get Directions Write a Review

NPPES record last updated: February 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Nathan Biggerstaff Andrew Biggerstaff Qmhp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. NATHAN BIGGERSTAFF ANDREW BIGGERSTAFF QMHP (NPI 1073318135) is an individual mental health provider in Mount Vernon, Illinois and active in the NPI registry since February 2025.

NPPES Registry Identity

NPI1073318135
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. NATHAN BIGGERSTAFF ANDREW BIGGERSTAFFCredential: QMHP
Location Address4805 BROADWAY ST STE CMount Vernon, IL 62864-6702
Mailing Address4805 Broadway St Ste CMount Vernon, IL 62864-6702 · (186) 417-4817
Phone(186) 417-4817
Sole ProprietorNo
Enumeration DateFebruary 13, 2025
NPPES CertifiedFebruary 13, 2025
✔ NPI 1073318135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
4805 BROADWAY ST STE C, Mount Vernon, IL 62864
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ONE HOPE UNITED
Clinic/Center (Mental Health (Including Community Mental Health Center))
4805 BROADWAY ST STE C
MOUNT VERNON, IL 62864
Jefferson County (618) 228-1133
RACHEL ALMEDA MILLER MHP
Counselor (Mental Health)
4805 BROADWAY ST STE C
MOUNT VERNON, IL 62864
Jefferson County (618) 288-1133
MR. BENTON DUANE GOFF MPH
Counselor (Mental Health)
4805 BROADWAY ST STE C
MOUNT VERNON, IL 62864
Jefferson County (224) 289-7161

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nathan Biggerstaff Biggerstaff's NPI number?

The NPI number for Nathan Biggerstaff Biggerstaff is 1073318135. It was assigned to this individual provider in the NPPES registry on February 13, 2025.

Where is Nathan Biggerstaff Biggerstaff located?

Nathan Biggerstaff Biggerstaff practices at 4805 Broadway St Ste C, Mount Vernon, IL 62864. The listed phone number is (186) 417-4817.

What is Nathan Biggerstaff Biggerstaff's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Nathan Biggerstaff Biggerstaff was last updated on February 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.