IndividualActive
Anthony Fair, MA QMHP
NPI 1376324871 · Mental Health Counselor · Sparta, IL
Provider details
- NPI number
- 1376324871
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- MA QMHP
- Sex
- Male
- Sole proprietor
- No
- License
- 2437595 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
104 Northtown Dr
Sparta, IL 62286-1081
Phone: (618) 282-6233
Street-level locationGet directions
Mailing address
10257 State Route 3
Red Bud, IL 62278-4418
Additional practice locations (1)
- 10257 State Route 3Red Bud, IL 62278-4418Phone: (618) 282-6233
Registry dates
- Enumerated
- 2023-10-10
- Last updated
- 2024-05-22
- Certified
- 2024-05-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.