ANDREA REED (NPI# 1073755526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073755526 |
| Entity Type | Individual |
| Full Name | ANDREA REED |
| Credential | LPC |
| Practice Address |
4615 E State St Ste 202 Rockford IL 61108-2158 |
| Mailing Address |
175 E Hawthorn Pkwy Ste 235 Vernon Hills IL 60061-1454 |
| Practice Telephone | 8478683435 |
| Practice Fax Number | 8478595885 |
| Mailing Telephone | 8478683435 |
| Mailing Fax Number | 8478595885 |
| Enumeration Date | 2009-03-30 |
| Last Update Date | 2020-10-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
178014750 | IL | Behavioral Health & Social Service Providers |
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 605 Mulberry St, Rockford, IL 611036746 | 8157204964 | |
| 701 W Lamm Rd, Freeport, IL 610329630 | 8152336162 | 8152336167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992368351 | Andrea Reed | Case Manager/Care Coordinator | 10 West St, Concord, NH 03301-3548 | 2019-04-20 |
| 1932666484 | Andrea Leblanc Reed | Counselor | 700 Pierre Ave Ste A, Shreveport, LA 71103-2725 | 2019-02-20 |
| 1003371261 | Andrea Reed | Physical Therapist | 220 N Smith St Ste 100, Palatine, IL 60067-2415 | 2019-02-01 |
| 1558840256 | Andrea Ladawn Reed | Counselor | 1101 E Washington Ave, Mcalester, OK 74501-4919 | 2018-08-13 |
| 1629555271 | Andrea Nicole Reed | Nurse Practitioner | 135 S Penn Ave, Harrisville, WV 26362-1371 | 2018-07-26 |
| 1417473943 | Andrea Marie Reed | Case Manager/Care Coordinator | 5050 Madison Rd, Cincinnati, OH 45227-1491 | 2017-08-16 |
| 1952836710 | Andrea Reed | Occupational Therapy Assistant | 5800 E Skelly Dr, Suite 402, Tulsa, OK 74135-6471 | 2017-04-28 |
| 1790220713 | Andrea E Reed | Nurse Anesthetist, Certified Registered | 2900 1st Ave, Huntington, WV 25702 | 2016-12-29 |
| 1205286820 | Andrea Reed | Pharmacist | 962 S Dorset Rd, Troy, OH 45373-4705 | 2016-06-14 |
| 1386021657 | Andrea Lynn Reed | Pediatrics | 111 Cholchester Ave, Burlington, VT 05401 | 2015-05-06 |
| Street Address |
4615 E STATE ST STE 202 |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61108-2158 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154944452 | Ashley Spickler | Counselor | 4615 E State St Ste 202, Rockford, IL 61108-2158 | 2020-05-20 |
| 1275162653 | Andrea Contreras | Dietitian, Registered | 4615 E State St Ste 202, Rockford, IL 61108-2158 | 2020-04-07 |
| 1104388420 | Kelsey Veilleux | Counselor | 4615 E State St Ste 202, Rockford, IL 61108-2158 | 2019-04-04 |
| 1730696113 | Alyssa Klehr | Dietitian, Registered | 4615 E State St Ste 202, Rockford, IL 61108-2158 | 2018-01-06 |
| 1689189995 | Noelle Bennett | Counselor | 4615 E State St Ste 202, Rockford, IL 61108-2158 | 2017-12-08 |
| 1700242666 | Sara Lynn Garl | Counselor | 4615 E State St Ste 202, Rockford, IL 61108-2158 | 2016-01-07 |
| 1134555881 | Alix Kavran | Counselor | 4615 E State St Ste 202, Rockford, IL 61108-2158 | 2013-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952862617 | Isr Enterprises, Inc. | Homemaker | 129 Phelps Ave, Bldg 10, Ste 1008, Rockford, IL 61108 | 2019-03-26 |
| 1003306465 | Adrienne Nicole Black | Behavior Technician | 519 Woodland Dr, Woodland Dr, Rockford, IL 61108 | 2018-05-11 |
| 1184085201 | Integrative Healing Center, LLC | Clinic/Center | 6019 Fincham Drive, Rockford, IL 61108 | 2016-03-17 |
| 1730547936 | Perryville Dentist PC | Dentist | 845 S Perryville Rd, Unit 119, Rockford, IL 61108 | 2016-02-02 |
| 1023489853 | Nicole Ping Ticknor | Counselor | 433 S. Phelps Ave., Suite 2, Rockford, IL 61108 | 2015-10-20 |
| 1275940348 | Northwest Home Care, Inc. | Home Health | 1437 S. Bell School Road, Suite 7, Rockford, IL 61108 | 2014-07-21 |
| 1487072922 | Alecia Greenlee | Psychiatry & Neurology | Rosecrance Community Mental Health, 3815 Harrison Avenue, Rockford, IL 61108 | 2014-04-02 |
| 1871925446 | Maria Laura Gustafson | Interpreter | 3208 Wesleyan Ave., Rockford, IL 61108 | 2013-08-06 |
| 1346582822 | Joseph Peevey | Pathology | 5666 E State Street, Department of Pathology, Rockford, IL 61108 | 2013-03-21 |
| 1134466923 | James Henry Peck | Hearing Instrument Specialist | 2424 Charles St, Rockford, IL 61108 | 2013-01-14 |
| Find all providers in zip 61108 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114536406 | Jennifer Amy Stone | Counselor | 4433 Hillrise Ct Ne, Rockford, MI 49341-9651 | 2020-07-23 |
| 1992346605 | Cara Kimble | Counselor | 308 W State St Ste 250, Rockford, IL 61101-1140 | 2019-10-03 |
| 1932753258 | Dimensions of Wellness and Transformation, Inc | Counselor | 3701 E State St Ste H, Rockford, IL 61108-1975 | 2019-07-25 |
| 1871094870 | Rachel Schultz | Counselor | 1639 N Alpine Rd Ste 403, Rockford, IL 61107-1440 | 2018-02-24 |
| 1669987806 | Jilian Santander Rakow | Counselor | 10525 Edgerton Ave Ne, Rockford, MI 49341-9120 | 2017-12-11 |
| 1184072126 | Carlton Martin | Counselor | 5896 Creekside Ln, Rockford, IL 61114-6466 | 2016-06-01 |
| 1003273830 | Darcy Krause | Counselor | 6556 Bella Vista Dr Ne, 26 N Main St, Rockford, MI 49341-7861 | 2016-01-25 |
| 1023489853 | Nicole Ping Ticknor | Counselor | 433 S. Phelps Ave., Suite 2, Rockford, IL 61108 | 2015-10-20 |
| 1003283169 | Bren Shantz | Counselor | 4890 11 Mile Rd Ne, Rockford, MI 49341-8477 | 2015-08-25 |
| 1710371406 | Rebecca Gielow | Counselor | 2518 Whitmire Dr, Rockford, IL 61109-6732 | 2015-03-20 |
| Find all providers in ROCKFORD | ||||
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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.