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KEVIN LEE ROSS CRC
NPI 1417796020
Counselor - Mental Health in Sparta, IL

Active since May 22, 2024
104 NORTHTOWN RD, SPARTA, IL 62286(618) 443-3084 Get Directions Write a Review

NPPES record last updated: May 22, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Kevin Lee Ross Crc NPPES

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

KEVIN LEE ROSS CRC (NPI 1417796020) is an individual mental health provider in Sparta, Illinois and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1417796020
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameKEVIN LEE ROSSCredential: CRC
Location Address104 NORTHTOWN RDSparta, IL 62286-1081
Mailing Address705 S Grace StMarissa, IL 62257-1923 · (618) 521-4435
Phone(618) 443-3084
Sole ProprietorNo
Enumeration DateMay 22, 2024
NPPES CertifiedMay 22, 2024
✔ NPI 1417796020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
104 NORTHTOWN RD, Sparta, IL 62286
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Other Providers at the Same Location NPPES 6

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

JAMIA KLAUSING LCSW
Social Worker (Clinical)
104 NORTHTOWN RD
SPARTA, IL 62286
Randolph County (618) 443-3045
PAMELA KUEKER LCSW
Social Worker (Clinical)
104 NORTHTOWN RD
SPARTA, IL 62286
Randolph County (618) 443-3045
COMWELL
Clinic/Center (Rehabilitation, Substance Use Disorder)
104 NORTHTOWN RD
SPARTA, IL 62286
Randolph County (618) 443-3045
AMANDA DURR LSW
Social Worker
104 NORTHTOWN RD
SPARTA, IL 62286
Randolph County (618) 282-6233
ALISON BRENDEL LPC
Counselor (Professional)
104 NORTHTOWN RD
SPARTA, IL 62286
Randolph County (618) 443-3045
HUMAN SERVICES CENTER
Clinic/Center (Mental Health (Including Community Mental Health Center))
104 NORTHTOWN RD
SPARTA, IL 62286
Randolph County (618) 282-6233

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 Kevin Ross's NPI number?

The NPI number for Kevin Ross is 1417796020. It was assigned to this individual provider in the NPPES registry on May 22, 2024.

Where is Kevin Ross located?

Kevin Ross practices at 104 Northtown Rd, Sparta, IL 62286. The listed phone number is (618) 443-3084.

What is Kevin Ross'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 Kevin Ross was last updated on May 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.