KAILEY BOCANEGRA (NPI# 1083155378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083155378 |
| Entity Type | Individual |
| Full Name | KAILEY BOCANEGRA |
| Credential | LCPC |
| Practice Address |
2560 Foxfield Rd Ste 310 Saint Charles IL 60174-5731 |
| Practice Telephone | 6308083847 |
| Practice Fax Number | 8158443561 |
| Mailing Telephone | 6308083847 |
| Mailing Fax Number | 6308083847 |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2020-10-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
2560 FOXFIELD RD STE 310 |
| City | SAINT CHARLES |
| State | IL |
| Zip Code | 60174-5731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306474192 | Halinas Residential Home Care | Registered Nurse | 825 North Fifth Avenue, St. Charles, IL 60174 | 2020-03-29 |
| 1205354503 | Connor Lavallie | Chiropractor | 240 W River Dr, St Charles, IL 60174 | 2017-09-07 |
| 1427579952 | Melanie Elizabeth Long | Counselor | 5n147 Oak Leaf Ct, St Charles, IL 60174 | 2017-07-06 |
| 1255860656 | Hannah Elizabeth Gambrel | Counselor | 12 South 7th Avenue, St. Charles, IL 60174 | 2017-06-08 |
| 1275981490 | Anju Patel | Pharmacist | 2038 Praire St, St. Charles, IL 60174 | 2016-05-27 |
| 1316328529 | Allison Jensen | Dentist | 11 S. 2nd Ave #11, St. Charles, IL 60174 | 2015-06-12 |
| 1225466576 | Chelsea Wright | Social Worker | 522 W Main St Unit 2d, St Charles, IL 60174 | 2013-10-24 |
| 1114261427 | Bryan R. Cichon Dds PC | Dentist | 700 S. Randall Rd., Suite #1, St. Charles, IL 60174 | 2012-11-27 |
| 1124372289 | Stacey Lynn Conner | Developmental Therapist | 910 Manley Rd, St. Charles, IL 60174 | 2012-10-28 |
| 1093070567 | St. Charles Service Corporation | Physical Therapist | 1615 W. Main Street, St. Charles, IL 60174 | 2012-07-10 |
| Find all providers in zip 60174 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780243584 | Darla Jean Mcadams | Counselor | 1570 S Main St Ste 200, Saint Charles, MO 63303-4149 | 2019-06-06 |
| 1013498302 | Cassandra Eubanks | Counselor | 300 1st Capitol Dr Unit 4a, Saint Charles, MO 63301-2844 | 2018-08-24 |
| 1477920049 | Sarah B Maurer | Counselor | 205 N 5th St Ste 203, Saint Charles, MO 63301-1877 | 2015-08-30 |
| 1255737383 | Emily Webb | Counselor | 3906 S Old Highway 94, Saint Charles, MO 63304-2853 | 2014-11-18 |
| 1497176374 | James Walsh | Counselor | 567 Madison St, Saint Charles, MO 63301-2747 | 2013-12-19 |
| 1003164286 | Mary Madsen-heskin | Counselor | 475 Dunham Rd Ste 2a, Saint Charles, IL 60174-1498 | 2012-08-20 |
| 1326303082 | Jeffrey Allen Fabbiano | Counselor | 1600 Heritage Landing Ste 116, Saint Charles, MO 63303 | 2012-07-09 |
| 1447510979 | Kathryn Rose Maus | Counselor | 1342 Auburn Hills Dr, Saint Charles, MO 63304-2448 | 2012-05-17 |
| 1801126941 | Philip James Kocisko | Counselor | 3140 W. Route 64, Saint Charles, IL 60175 | 2010-01-13 |
| 1982828570 | Howard G. Rosenthal | Counselor | 3417 Cottonwood Dr, Saint Charles, MO 63301-0194 | 2007-04-13 |
| Find all providers in SAINT CHARLES | ||||
| City | SAINT CHARLES |
| Zip Code | 60174 |
Please comment or provide details below to improve the information on KAILEY BOCANEGRA.
| 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.