SHERRY MCCRADY (NPI# 1093359390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093359390 |
| Entity Type | Individual |
| Full Name | SHERRY MCCRADY |
| Practice Address |
88 S Main St Ste 2 Glen Carbon IL 62034-1415 |
| Mailing Address |
Po Box 639 Glen Carbon IL 62034-0639 |
| Practice Telephone | 6182888085 |
| Practice Fax Number | 6182888959 |
| Mailing Telephone | 6182888085 |
| Mailing Fax Number | 6182888959 |
| Enumeration Date | 2019-10-30 |
| Last Update Date | 2019-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 000000 | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 1134526973 | 05 |
| Street Address |
88 S MAIN ST STE 2 |
| City | GLEN CARBON |
| State | IL |
| Zip Code | 62034-1415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083914089 | Michelle Ann Kingston | Counselor | 88 S Main St Ste 2, Glen Carbon, IL 62034-1415 | 2010-10-25 |
| 1093328841 | Jillian Mccammack | Counselor | 88 S Main St Ste 2, Glen Carbon, IL 62034-1415 | 2020-08-30 |
| 1104435494 | Mackenzie Harrison | Counselor | 88 S Main St Ste 2, Glen Carbon, IL 62034-1415 | 2020-07-23 |
| 1366065054 | Michael Lee | Psychologist | 88 S Main St Ste 2, Glen Carbon, IL 62034-1415 | 2020-05-28 |
| 1144850298 | Samantha Rowe | Counselor | 88 S Main St Ste 2, Glen Carbon, IL 62034-1415 | 2020-01-16 |
| 1154965127 | Cecily Heusner | Counselor | 88 S Main St Ste 2, Glen Carbon, IL 62034-1415 | 2019-11-03 |
| 1255975298 | Avarie Trent | Counselor | 88 S Main St Ste 2, Glen Carbon, IL 62034-1415 | 2019-11-02 |
| 1881238822 | Quinisa Grant | Counselor | 88 S Main St Ste 2, Glen Carbon, IL 62034-1415 | 2019-11-02 |
| 1841834157 | Molly Kamys | Counselor | 88 S Main St Ste 2, Glen Carbon, IL 62034-1415 | 2019-10-30 |
| 1083258479 | Christina Stevens | Counselor | 88 S Main St Ste 2, Glen Carbon, IL 62034-1415 | 2019-10-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740787795 | Kaleena Galletta | Nurse Practitioner | 4273 S., Il - 159, Glen Carbon, IL 62034 | 2018-04-06 |
| 1871092502 | Andrea Lee Sullivan | Dentist | 3024 South Il-159, Glen Carbon, IL 62034 | 2018-02-08 |
| 1417464918 | Stages Health & Wellness, LLC | Nurse Practitioner | 14 Crabapple Lane, Glen Carbon, IL 62034 | 2018-01-05 |
| 1700300498 | Michael Jay Arnold | Dentist | 3024 Il-159, Glen Carbon, IL 62034 | 2017-08-03 |
| 1679024228 | 360 Body Wellness Inc | Internal Medicine | 3407 Il State Route 157, Glen Carbon, IL 62034 | 2016-10-19 |
| 1346621505 | Stephanie N Lorts | Pediatrics | 4804 South State Route 159, Glen Carbon, IL 62034 | 2015-06-13 |
| 1205110111 | James Allan Staley | Pharmacist | #2 Cottonwood Rd, Glen Carbon, IL 62034 | 2011-10-11 |
| 1215224357 | Angela Eleni Kioultzopoulos | Speech-Language Pathologist | 7a Ginger Creek Village Dr., Glen Carbon, IL 62034 | 2011-07-08 |
| 1922320795 | Meridian Village Association | Skilled Nursing Facility | 27 Auerbach Place, Glen Carbon, IL 62034 | 2010-02-22 |
| 1679728356 | Erin Kathleen Immken | Counselor | 98 Junction Drive West, Suite 6, Glen Carbon, IL 62034 | 2008-11-24 |
| Find all providers in zip 62034 | ||||
| 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 |
|---|---|---|---|---|
| 1609166115 | Tracy Karvinen | Counselor | 2220 S State Route 157, Suite 200d, Glen Carbon, IL 62034-1724 | 2011-04-18 |
| 1083914089 | Michelle Ann Kingston | Counselor | 88 S Main St Ste 2, Glen Carbon, IL 62034-1415 | 2010-10-25 |
| 1093328841 | Jillian Mccammack | Counselor | 88 S Main St Ste 2, Glen Carbon, IL 62034-1415 | 2020-08-30 |
| 1104435494 | Mackenzie Harrison | Counselor | 88 S Main St Ste 2, Glen Carbon, IL 62034-1415 | 2020-07-23 |
| 1154965127 | Cecily Heusner | Counselor | 88 S Main St Ste 2, Glen Carbon, IL 62034-1415 | 2019-11-03 |
| 1881238822 | Quinisa Grant | Counselor | 88 S Main St Ste 2, Glen Carbon, IL 62034-1415 | 2019-11-02 |
| 1407405764 | Erin Harris | Counselor | 88 S Main St Ste 2, Glen Carbon, IL 62034-1415 | 2019-09-10 |
| 1609329523 | Emily Mooshegian | Counselor | 9 Junction Dr W, Suite 3, Glen Carbon, IL 62034-2931 | 2016-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154922813 | Valerie Ann Taylor | Counselor | 1230 N Washington Ave, Batavia, IL 60510-1369 | 2020-11-07 |
| 1073114088 | Astrid Larsen | Counselor | 2317 Timberline Trl, Woodstock, IL 60098-8759 | 2020-11-05 |
| 1932708690 | Mucci World Management Inc,. | Counselor | 7913 171st St, Tinley Park, IL 60477-3244 | 2020-10-22 |
| 1679172373 | Alexander Czop | Counselor | 1250 Chestnut Ave, Wilmette, IL 60091-1616 | 2020-10-22 |
| 1427656859 | Mica Coleman | Counselor | 5800 Allemong Dr, Matteson, IL 60443-1108 | 2020-10-16 |
| 1386242873 | Kelly Mann | Counselor | 301 S Henry St, Ashkum, IL 60911-7119 | 2020-10-15 |
| 1245838549 | Erika Leigh Heatley | Counselor | 32w755 Albert Dr, East Dundee, IL 60118-3202 | 2020-10-09 |
| 1851999080 | Linda D Odaniel | Counselor | 12904 Division St Apt 2a, Blue Island, IL 60406-3420 | 2020-10-09 |
| 1366058075 | Allyssa Rose Bertram | Counselor | 4055 W Peterson Ave Ste 202, Chicago, IL 60646-6183 | 2020-09-17 |
| 1952914707 | Tara Ufer | Counselor | 400 W Deming Pl Apt 9g, Chicago, IL 60614-1702 | 2020-08-30 |
| Find all providers with the same taxonomy | ||||
| City | GLEN CARBON |
| Zip Code | 62034 |
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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.