MS. JUANITA SURO (NPI# 1386831311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386831311 |
Entity Type | Individual |
Full Name | MS. JUANITA SURO |
Credential | LCPC |
Practice Address |
902 W Jourdan St Newton IL 62448-1062 |
Mailing Address |
Po Box M 504 Micah Drive Olney IL 62450-0913 |
Practice Telephone | 6187838615 |
Practice Fax Number | 6187834174 |
Mailing Telephone | 6183954306 |
Mailing Fax Number | 6183954507 |
Enumeration Date | 2007-10-03 |
Last Update Date | 2007-10-03 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
IL | Behavioral Health & Social Service Providers |
Street Address |
902 W JOURDAN ST |
City | NEWTON |
State | IL |
Zip Code | 62448-1062 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841469491 | S E Illinois Counseling Ctrs Inc. | Community/Behavioral Health | 902 W Jourdan St, Newton, IL 62448-1062 | 2008-02-28 |
1245418128 | South Eastern Illinois Counseling Center Inc | Counselor | 902 W Jourdan St, Newton, IL 62448-1062 | 2008-02-04 |
1023206083 | Roberta J Bruner | Counselor | 902 W Jourdan St, Newton, IL 62448-1062 | 2007-10-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285114025 | Jennifer Eaton | Speech-Language Pathologist | 100 E. Maxwell St., Newton, IL 62448 | 2018-08-21 |
1962918169 | Erica Rose Schumacher | Speech-Language Pathologist | 100 E Maxwell St, Newton, IL 62448 | 2017-12-26 |
1063506772 | Jasper County Comm Unit Dist 1 | Local Education Agency (LEA) | 609 S Lafayette, Newton, IL 62448 | 2006-10-03 |
1467462788 | Jeanine Marie Fell | Dentist | 605 South Vanburen, Newton, IL 62448 | 2006-08-09 |
1639635972 | Tammy Andes | Registered Nurse | 601 W Washington St Ste 1, Newton, IL 62448 | 2019-02-12 |
1124535737 | Lori Smith | Registered Nurse | 106 East Edwards, Newton, IL 62448 | 2018-01-04 |
1083121867 | Mandy Rieman | Registered Nurse | 106 East Edwards, Newton, IL 62448 | 2018-01-03 |
1376050153 | Sandra Zumbahlen | Registered Nurse | 106 East Edwards, Newton, IL 62448 | 2018-01-03 |
1699282467 | Christy Gentry | Registered Nurse | 106 East Edwards, Newton, IL 62448 | 2018-01-03 |
1669989448 | Ashley Zumbahlen | Registered Nurse | 106 East Edwards, Newton, IL 62448 | 2018-01-03 |
Find all providers in zip 62448 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376157784 | Avi Cohen | Counselor | 8 Mount Ida St Apt 2, Newton, MA 02458-1986 | 2020-09-02 |
1457977506 | Jonah E Naghi | Counselor | 659 Beacon St, Newton, MA 02459-2003 | 2020-06-24 |
1558981928 | Jacquelyn Macdougall | Counselor | 1155 Walnut St Ste 32, Newton, MA 02461-1271 | 2020-04-25 |
1962036046 | A New Outlook Counseling Services, Pllc | Counselor | 1048 Harper Lee Dr, Newton, NC 28658-9203 | 2020-02-27 |
1639722051 | Veronica Mae Carney | Counselor | 425r Watertown St, Newton, MA 02458-1113 | 2019-07-24 |
1649741307 | Joseph Allen Jr. | Counselor | 223 Needham Street, Newton, MA 02460 | 2018-12-06 |
1770065633 | Eriny Agban | Counselor | 223 Needham St, Newton, MA 02464 | 2018-09-06 |
1437667631 | Shirelle J Rhodes | Counselor | 233 Needham St Ste 511, Newton, MA 02464-1573 | 2018-01-22 |
1104339787 | Stephanie Chancey | Counselor | 425 Watertown Street, The Academy, Newton, MA 02458 | 2017-11-06 |
1730608100 | Nicole M La Camera | Counselor | 39 Chestnut Terrace, Newton, MA 02459 | 2017-09-16 |
Find all providers in NEWTON |
Please comment or provide details below to improve the information on MS. JUANITA SURO.
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.