KELLY MANN (NPI# 1386242873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386242873 |
Entity Type | Individual |
Full Name | KELLY MANN |
Practice Address |
301 S Henry St Ashkum IL 60911-7119 |
Practice Telephone | 8153700910 |
Mailing Telephone | 8153700910 |
Enumeration Date | 2020-10-15 |
Last Update Date | 2020-10-19 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | 178012643 | IL | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720625387 | Kelly Mann | Behavior Technician | 27777 Inkster Rd, Farmington Hills, MI 48334-5326 | 2019-12-03 |
1295391357 | Kelly Michelle Mann | Nurse Practitioner | 939 Caroline St, Port Angeles, WA 98362-3997 | 2019-05-14 |
1437671823 | Kelly Mann | Nurse Practitioner | 488 Saint Lukes Dr, Montgomery, AL 36117-7104 | 2017-07-07 |
1164683728 | Kelly Mann | Pediatrics | 2055 Lincoln Ave, Pasadena, CA 91103 | 2008-06-17 |
1053454447 | Kelly Ann Mann | Registered Nurse | 3031 W Grand Blvd, Suite 800 Endo Metab, Detroit, MI 48202-3046 | 2007-02-15 |
Street Address |
301 S HENRY ST |
City | ASHKUM |
State | IL |
Zip Code | 60911-7119 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790953925 | Central Community Unit School Dist #4 | Local Education Agency (LEA) | 203 North Third Street, Ashkum, IL 60911 | 2008-02-11 |
1689191157 | Patricia Gray | Psychologist | 203 N Third St, Ashkum, IL 60911-6040 | 2017-08-25 |
1235648452 | Gina Michelle Grillion | Speech-Language Pathologist | 203 N Third St, Ashkum, IL 60911-6040 | 2017-09-20 |
1225505290 | Chelsi Owens | Behavior Technician | 406 N Second St, Ashkum, IL 60911-6071 | 2018-10-29 |
1235658089 | Sarah Grob | Speech-Language Pathologist | 107 E Petersen Ct, Ashkum, IL 60911-7135 | 2017-09-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225505290 | Chelsi Owens | Behavior Technician | 406 N Second St, Ashkum, IL 60911-6071 | 2018-10-29 |
1235658089 | Sarah Grob | Speech-Language Pathologist | 107 E Petersen Ct, Ashkum, IL 60911-7135 | 2017-09-13 |
1689191157 | Patricia Gray | Psychologist | 203 N Third St, Ashkum, IL 60911-6040 | 2017-08-25 |
1790953925 | Central Community Unit School Dist #4 | Local Education Agency (LEA) | 203 North Third Street, Ashkum, IL 60911 | 2008-02-11 |
1235648452 | Gina Michelle Grillion | Speech-Language Pathologist | 203 N Third St, Ashkum, IL 60911-6040 | 2017-09-20 |
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. |
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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 |
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 |
1104439694 | Alisa Williams | Counselor | 409 E 62nd St, Chicago, IL 60637-6097 | 2020-08-25 |
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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.