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CISSI MAYBERRY
NPI 1790353316
Counselor - Mental Health in Mount Vernon, IL

Active since June 11, 2021
4110 N WATER TOWER PL, MOUNT VERNON, IL 62864(618) 242-8266 Get Directions Write a Review

NPPES record last updated: June 11, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Cissi Mayberry NPPES

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

CISSI MAYBERRY (NPI 1790353316) is an individual mental health provider in Mount Vernon, Illinois and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1790353316
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCISSI MAYBERRY
Location Address4110 N WATER TOWER PLMount Vernon, IL 62864-6295
Mailing Address150 Juniper DrMount Vernon, IL 62864-5942
Phone(618) 242-8266
Sole ProprietorNo
Enumeration DateJune 11, 2021
NPPES CertifiedJune 11, 2021
✔ NPI 1790353316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
4110 N WATER TOWER PL, Mount Vernon, IL 62864
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Other Providers at the Same Location NPPES 20

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

JON CHRISTIAN MINOR MHP
Counselor (Mental Health)
4110 N WATER TOWER PL
MOUNT VERNON, IL 62864
Jefferson County (618) 242-8266
SAMANTHA REYNOLDS
Counselor (Mental Health)
4110 N WATER TOWER PL
MOUNT VERNON, IL 62864
Jefferson County (618) 242-2066
ADRIA JAEL HAMILTON MHP
Counselor
4110 N WATER TOWER PL
MOUNT VERNON, IL 62864
Jefferson County (773) 720-7089
SHERYL HOLLY-TAYLOR
Counselor (Mental Health)
4110 N WATER TOWER PL
MOUNT VERNON, IL 62864
Jefferson County (618) 242-8266
DYLAN MATTHEW HALL MHP
Counselor (Mental Health)
4110 N WATER TOWER PL
MOUNT VERNON, IL 62864
Jefferson County (618) 242-8266
GINA M TAYLOR MHP
Counselor (Mental Health)
4110 N WATER TOWER PL
MOUNT VERNON, IL 62864
Jefferson County (618) 242-8266
AMANDA CORYELL
Counselor (Mental Health)
4110 N WATER TOWER PL
MOUNT VERNON, IL 62864
Jefferson County (618) 534-5712
MRS. AMY ELIZABETH BARTON L.C.S.W.
Social Worker (Clinical)
4110 N WATER TOWER PL
MOUNT VERNON, IL 62864
Jefferson County (618) 242-8266

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 Cissi Mayberry's NPI number?

The NPI number for Cissi Mayberry is 1790353316. It was assigned to this individual provider in the NPPES registry on June 11, 2021.

Where is Cissi Mayberry located?

Cissi Mayberry practices at 4110 N Water Tower Pl, Mount Vernon, IL 62864. The listed phone number is (618) 242-8266.

What is Cissi Mayberry'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 Cissi Mayberry was last updated on June 11, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.