Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Christopher Anthony Gresham

Individual provider Mental Health Counselor · NPI 1598249138

Christopher Anthony Gresham is a Mental Health Counselor in Dixon, Illinois. Qualified in 2019, 7 years ago. Practices with Southpark Psychology Ltd, a 21-clinician group and accepts Medicare assignment.

Years since qualifying
7
In the registry since
2018
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Practice location Address checks out

325 Il Route 2
Dixon, IL 61021-9118
Phone: (815) 284-6611
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1598249138
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 19, 2018
Last updated in NPPESSeptember 19, 2018
Mailing address325 Il Route 2, Dixon, IL 61021-9118

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Southpark Psychology Ltd — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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