KELLY WEIDNER (NPI# 1194858183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194858183 |
| Entity Type | Individual |
| Full Name | KELLY WEIDNER |
| Practice Address |
20439 Glen Vista Ln Crest Hill IL 60435-0729 |
| Practice Telephone | 8158363965 |
| Practice Fax Number | 8158369930 |
| Mailing Telephone | 8158363965 |
| Mailing Fax Number | 8158369930 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225C00000X | Rehabilitation Counselor | KW16880304P | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477827111 | Kelly Schock Weidner | Counselor | 5776 Saint Augustine Rd, Jacksonville, FL 32207-8030 | 2012-02-27 |
| Street Address |
20439 GLEN VISTA LN |
| City | CREST HILL |
| State | IL |
| Zip Code | 60435-0729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851889018 | Chime Ajiere | Nurse Practitioner | 511 Theodore St, Joliet, IL 60435 | 2018-04-24 |
| 1740791284 | Melanie Presnak | Speech-Language Pathologist | 1207 N Larkin Ave, Joliet, IL 60435 | 2017-10-23 |
| 1831618883 | Jeriel Marsena Quarles | Licensed Practical Nurse | 1617 W Jefferson Street, Joliet, IL 60435 | 2017-09-11 |
| 1053769760 | Cody Hutchinson | Physical Therapy Assistant | 2943 W Jefferson St, Joliet, IL 60435 | 2016-06-03 |
| 1659748549 | Megan Ryab | Massage Therapist | 501 Wilcox St, Joliet, IL 60435 | 2015-08-26 |
| 1922416197 | Kodo Care, Inc. | Pharmacy | 221 Springfield Avenue, Suite A, Joliet, IL 60435 | 2014-07-31 |
| 1528489739 | My Family Doc LLC | Family Medicine | 2001-03 Essington Rd, Joliet, IL 60435 | 2013-12-16 |
| 1184973869 | R A Lombardi Dds PC | Dentist | 3011 Theodore St., Joliet, IL 60435 | 2012-09-10 |
| 1245546076 | Kelly Rae Lesemann | Chiropractor | 1011 Essington Road, Joliet, IL 60435 | 2010-08-31 |
| 1932413697 | Ann E Todd | Optometrist | 1521 Essington Road, Everything In Sight, Joliet, IL 60435 | 2010-08-04 |
| Find all providers in zip 60435 | ||||
| Taxonomy Code | 225C00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Counselor |
| An individual trained and educated in a systematic process of assisting persons with physical, mental, developmental, cognitive, and emotional disabilities to achieve their personal, career, and independent living goals assessment and appraisal, diagnosis and treatment planning, career (vocational) counseling, individual and group counseling interventions for adjustments to the medical and psychosocial impact of disability, case management, program evaluation and research, job analysis and placement counseling, and consultation on rehabilitation resources and technology. Certification generally requires a Master’s degree with specialized courses in rehabilitation processes and technology. |
| Notes: Sources: Commission on Rehabilitation Counselor Certification and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467935775 | Kelly Sue Willenborg | Rehabilitation Counselor | 300 Sur Woods Dr, Effingham, IL 62401-3113 | 2018-09-12 |
| 1053809293 | Richard Albert Price | Rehabilitation Counselor | 1924 Melrose Dr Apt C, Champaign, IL 61820-2048 | 2018-04-24 |
| 1558643718 | Gail L Russell | Rehabilitation Counselor | 1003 S Westlawn Ave, Champaign, IL 61821-4412 | 2011-09-14 |
| 1689955486 | Candice Letha Sarver | Rehabilitation Counselor | 210 Brady Ln, Urbana, IL 61802-4604 | 2011-09-07 |
| 1275813040 | Eric Miller | Rehabilitation Counselor | 207 1/2 N Busey Ave, Urbana, IL 61801-3116 | 2011-08-24 |
| 1598054975 | Meagan Nicole Quigley | Rehabilitation Counselor | 505 N Douglas St, Villa Grove, IL 61956-1032 | 2011-04-06 |
| 1407153182 | Jessica L Foley | Rehabilitation Counselor | 804 W Vine St, Champaign, IL 61820-2825 | 2011-02-16 |
| 1679878037 | Benjamin Joseph Unander | Rehabilitation Counselor | 1401 Glenshire Dr, Champaign, IL 61822-7701 | 2011-01-17 |
| 1073816203 | Jazmin Pazmino | Rehabilitation Counselor | 1801 Valley Rd, A, Champaign, IL 61820-7143 | 2010-12-09 |
| 1831409432 | Candis Kim | Rehabilitation Counselor | 3310 Sharp Dr., Champaign, IL 61822 | 2010-10-15 |
| Find all providers with the same taxonomy | ||||
| City | CREST HILL |
| Zip Code | 60435 |
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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.