KELLY KREPEL (NPI# 1023644036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023644036 |
| Entity Type | Individual |
| Full Name | KELLY KREPEL |
| Practice Address |
5342 W Elm St Mchenry IL 60050-4029 |
| Mailing Address |
4311 Il Route 176 Crystal Lake IL 60014-3701 |
| Practice Telephone | 8479312340 |
| Mailing Telephone | 8153074762 |
| Enumeration Date | 2020-03-21 |
| Last Update Date | 2020-03-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
5342 W ELM ST |
| City | MCHENRY |
| State | IL |
| Zip Code | 60050-4029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063849164 | Morgan Marie Peterson | Counselor | 5342 W Elm St, Mchenry, IL 60050-4029 | 2013-10-03 |
| 1639786650 | Jeannette Collier | Registered Nurse | 5342 W Elm St, Mchenry, IL 60050-4029 | 2020-09-24 |
| 1285240317 | Katelyn L Kettler | Counselor | 5342 W Elm St, Mchenry, IL 60050-4029 | 2020-09-23 |
| 1508470311 | Alejandra Ethel Gutierrez | Counselor | 5342 W Elm St, Mchenry, IL 60050-4029 | 2020-08-31 |
| 1033722848 | Association of Individual Development | Counselor | 5342 W Elm St, Mchenry, IL 60050-4029 | 2020-08-31 |
| 1013528280 | Lee Gregory Mohr | Counselor | 5342 W Elm St, Mchenry, IL 60050-4029 | 2020-08-12 |
| 1902423569 | Haley Marski | Counselor | 5342 W Elm St, Mchenry, IL 60050-4029 | 2020-06-30 |
| 1487289583 | Cynthia Diekmann-hohoff | Counselor | 5342 W Elm St, Mchenry, IL 60050-4029 | 2020-03-09 |
| 1457983884 | Vinalee June Vann | Counselor | 5342 W Elm St, Mchenry, IL 60050-4029 | 2020-02-04 |
| 1073157921 | Ana C Galindo | Counselor | 5342 W Elm St, Mchenry, IL 60050-4029 | 2019-11-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932728003 | Tco Jv, LLC | Skilled Nursing Facility | 550 Ridgeview Drive, Mchenry, IL 60050 | 2020-04-09 |
| 1992274971 | Lisa Luedtke | Counselor | 5342 West Elm Street, Mchenry, IL 60050 | 2018-11-19 |
| 1013402825 | Fox Ridge Medical Associates, LLC | Internal Medicine | 3633 Municipal Dr, Mchenry, IL 60050 | 2018-06-25 |
| 1700387065 | Richard Stacy Birmantas | Speech-Language Pathologist | 6515 West Route 120, Mchenry, IL 60050 | 2018-02-22 |
| 1659888774 | Kathleen Mather | Speech-Language Pathologist | 3502 Washington St, Mchenry, IL 60050 | 2018-01-10 |
| 1891205605 | Delorean Mckinney | Psychologist | 4031 Dayton Ave, Mchenry, IL 60050 | 2017-10-06 |
| 1851810741 | Diana Park | Pharmacist | 2253 N. Richmond Rd., Mchenry, IL 60050 | 2017-09-12 |
| 1063931921 | Lauren M Young | Counselor | 4031 W. Dayton Street, Mchenery, IL 60050 | 2017-09-12 |
| 1376086264 | Elizabeth Kathleen Zacher | Social Worker | 4100 W Dayton Street, Mchenry, IL 60050 | 2016-11-23 |
| 1700332491 | Jasmine Elias | Social Worker | 4031 Dayton St, Mchenry, IL 60050 | 2016-09-01 |
| Find all providers in zip 60050 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770054249 | Rahela Gjeorgievska | Counselor | 4711 W Shore Dr, Mchenry, IL 60050-3670 | 2018-12-10 |
| 1992274971 | Lisa Luedtke | Counselor | 5342 West Elm Street, Mchenry, IL 60050 | 2018-11-19 |
| 1851895031 | Patrick Harry Kelly | Counselor | 5435 Bull Valley Rd Ste 230, Mchenry, IL 60050-7435 | 2018-03-21 |
| 1316455595 | Allison Foshee | Counselor | 4209 W Shamrock Ln Unit C, Mchenry, IL 60050-8700 | 2018-01-22 |
| 1609226380 | Lisa Lewis | Counselor | 8 Lakeview Court, Mchenry, MD 21541 | 2016-06-14 |
| 1063849164 | Morgan Marie Peterson | Counselor | 5342 W Elm St, Mchenry, IL 60050-4029 | 2013-10-03 |
| 1275541591 | Geraldine Charley | Counselor | 4100 Veteran's Pkwy, Mchenry, IL 60050-4029 | 2006-08-03 |
| 1699783803 | Gayle Saturday | Counselor | 5404 W Elm St Ste H, Mchenry, IL 60050-4007 | 2006-08-03 |
| 1285240317 | Katelyn L Kettler | Counselor | 5342 W Elm St, Mchenry, IL 60050-4029 | 2020-09-23 |
| 1508470311 | Alejandra Ethel Gutierrez | Counselor | 5342 W Elm St, Mchenry, IL 60050-4029 | 2020-08-31 |
| Find all providers in MCHENRY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.