Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1922019991 Individual Practitioner Male Practitioner

Carl D Vincent

Counselor - Professional • Moline, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Carl Vincent is a certified Counselor - Professional practicing in Moline, IL. With approximately 29 years of clinical experience since completing medical education in 1997, Carl Vincent delivers high-quality medical care to the local community at 2100 52ND AVE.

Carl Vincent is affiliated with Southpark Psychology Ltd and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

2100 52nd Ave

Moline, IL 612656366

Telephone 3097972900
Fax 3097972147
Associated Practice Facility / Clinic
🏢 Southpark Psychology Ltd Facility NPI 1558470419

Medicare Profile & Education

Medical School

Other

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Moline, IL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
29 Yrs +11.9 yrs vs City Avg
City Avg: 17.1 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
32 Specialists

Practicing in Moline, IL (9683 Statewide)

Telehealth Adoption Rate
6.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Vincent (29 Years) 29 Yrs
Moline Specialty Average (17.1 Years) 17.1 Yrs

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

Definition to come...

Hospital & Practice Group Affiliations

Southpark Psychology Ltd

2100 52nd Ave, Moline, IL 612656366

Phone: 3097972900

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

19 Associated Practitioners
Christina Nordick , NP

Nurse Practitioner

NPI 1083687040

Nurse Practitioner

Rosemary Jordan , LCSW

Social Worker - Clinical

NPI 1093798589

Licensed Clinical Social Worker

James Ray , LCPC

Counselor - Professional

NPI 1194830067

Licensed Clinical Professional Counselor

James Pugliano , LCSW

Social Worker - Clinical

NPI 1346251030

Licensed Clinical Social Worker

NPI 1396755740

Doctor of Psychology (Psy.D.)

Erin Petree , LCPC

Counselor - Professional

NPI 1437603123

Licensed Clinical Professional Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 2100 52ND AVE, MOLINE, IL 612656366 (Tel: 3097972900)

📍
Updated Business Mailing Address July 08, 2007

Registered at 2100 52ND AVE, MOLINE, IL 612656366 (Tel: 3097972900)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as CARL VINCENT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Counselor

🟢
Initial NPI Registration & Enumeration August 11, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Carl Vincent. Be the first to share your experience!

Sign in to leave a review for Carl Vincent

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1922019991
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 11, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

2100 52nd Ave

Moline, IL 612656366

Phone: 3097972900

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.