MCKENNA TERESE TEBODA (NPI# 1265059463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265059463 |
| Entity Type | Individual |
| Full Name | MCKENNA TERESE TEBODA |
| Credential | NCC |
| Practice Address |
750 Essington Rd Joliet IL 60435-4912 |
| Practice Telephone | 8157292160 |
| Practice Fax Number | 8153730099 |
| Mailing Telephone | 8157292160 |
| Mailing Fax Number | 8153730099 |
| Enumeration Date | 2020-07-03 |
| Last Update Date | 2020-07-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
750 ESSINGTON RD |
| City | JOLIET |
| State | IL |
| Zip Code | 60435-4912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356502140 | Scott S Cowan | Physical Therapy Assistant | 750 Essington Rd, Joliet, IL 60435-4912 | 2008-06-24 |
| 1134736895 | Kenneth John Shields Jr. | Behavioral Analyst | 750 Essington Rd, Joliet, IL 60435-4912 | 2020-09-28 |
| 1669089231 | Lauren Composto | Behavioral Analyst | 750 Essington Rd, Joliet, IL 60435-4912 | 2020-09-28 |
| 1700493277 | Rachel Elizabeth Peterson | Behavior Technician | 750 Essington Rd, Joliet, IL 60435-4912 | 2020-09-28 |
| 1154937720 | Jamie Lynn Haberkorn | Speech-Language Pathologist | 750 Essington Rd, Joliet, IL 60435-4912 | 2020-09-19 |
| 1033721626 | Maria Fernanda Quevedo Carrasco | Physical Therapist | 750 Essington Rd, Joliet, IL 60435-4912 | 2020-08-17 |
| 1790303881 | Acacia Grace Fisher | Behavior Technician | 750 Essington Rd, Joliet, IL 60435-4912 | 2020-07-06 |
| 1386269587 | Jennifer Rose Hume | Behavior Technician | 750 Essington Rd, Joliet, IL 60435-4912 | 2020-06-12 |
| 1821624610 | Carrie Ann Elise Welsh | Speech-Language Pathologist | 750 Essington Rd, Joliet, IL 60435-4912 | 2020-03-12 |
| 1598398299 | Nicole Ruzich | Occupational Therapist | 750 Essington Rd, Joliet, IL 60435-4912 | 2020-02-20 |
| Find all providers in the same location | ||||
| 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 | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104430198 | Laura Swayne | Counselor | 418 Jessie St, Joliet, IL 60433-2150 | 2020-09-07 |
| 1255997805 | Fallon Kimble | Counselor | 310 N Hammes Ave Ste 300b, Joliet, IL 60435-7661 | 2019-05-18 |
| 1588135438 | Anna Gonzales | Counselor | 2122 Westfield Rd, Joliet, IL 60435-3337 | 2018-12-17 |
| 1104350586 | Donna Lordi | Counselor | 2357 White Birch Ln, 105, Joliet, IL 60435-5570 | 2017-04-12 |
| 1720493398 | Tracy Theard | Counselor | 1859 Black Rd, Joliet, IL 60435-3535 | 2014-06-23 |
| 1376885210 | Judith Ann Stengele | Counselor | 306 Brooks Ave, Joliet, IL 60435-7020 | 2013-03-18 |
| 1205170966 | Catherine Therese Gremley | Counselor | 1256 W Jefferson St, Joliet, IL 60435-6886 | 2012-11-19 |
| 1689942831 | Deanne Marie Mesquita | Counselor | 1209 Pennsylvania Ave, Joliet, IL 60435-3719 | 2011-12-02 |
| 1649453044 | Family Counseling Center Division of Trinity Services | Counselor | 62 W Washington Street, Joliet, IL 60432-4331 | 2007-12-10 |
| 1245366483 | Morningstar Counseling | Counselor | 350 E Washington St, Joliet, IL 60433-1150 | 2007-02-24 |
| Find all providers in JOLIET | ||||
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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.