KATHY MOORE DYSON


Address: 340 W State St, Jacksonville, IL 62650-2061
Phone: 2172456126

KATHY MOORE DYSON (NPI# 1437128006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437128006
Entity Type Individual
Full Name KATHY MOORE DYSON
Credential LCPC
Practice Address 340 W State St
Jacksonville
IL 62650-2061
Mailing Address 710 N 8th St
Springfield
IL 62702-6324
Practice Telephone 2172456126
Practice Fax Number 2172454296
Mailing Telephone 2175251064
Mailing Fax Number 2175251651
Enumeration Date 2006-03-16
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
IL Behavioral Health & Social Service Providers

Office Location

Street Address 340 W STATE ST
City JACKSONVILLE
State IL
Zip Code 62650-2061

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629694583 Elizbeth Huss Secrist Counselor 340 W State St, Jacksonville, IL 62650-2061 2020-06-17
1063058113 Nora A Bishop Counselor 340 W State St, Jacksonville, IL 62650-2061 2019-11-25
1538644646 Misty Dawn Spencer Social Worker 340 W State St, Jacksonville, IL 62650-2061 2018-09-25
1699253815 Teegan Rochelle Lund Counselor 340 W State St, Jacksonville, IL 62650-2061 2018-07-31
1013401322 Mental Health Centers of Central Illinois Clinic/Center 340 W State St, Jacksonville, IL 62650-2061 2018-06-20
1558736959 Christina L. Meads Counselor 340 W State St, Jacksonville, IL 62650-2061 2015-12-10
1164856407 Yoli S Holmes Counselor 340 W State St, Jacksonville, IL 62650-2061 2013-08-22
1649537747 Betsy Van Brocklin Social Worker 340 W State St, Jacksonville, IL 62650-2061 2012-04-13
1972887156 Debra K Webb Social Worker 340 W State St, Jacksonville, IL 62650-2061 2011-10-05
1225282999 Mental Health Centers of Central Illinois Clinic/Center 340 W State St, Jacksonville, IL 62650 2008-11-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134768708 Stephanie Lee Mabus Occupational Therapy Assistant 873 Gorve St, Jacksonville, IL 62650 2019-12-31
1285281071 Sharshon Pharmacy Inc Pharmacy 154 W Morton Ave, Jacksonville, IL 62650 2019-08-26
1992275499 Brittany Ruth Helmich Counselor 340 W. State St., Jacksonville, IL 62650 2018-11-28
1811391782 Rodney E. Overstreet Hearing Instrument Specialist 1521 W. Walnut, Jacksonville, IL 62650 2014-10-21
1407979818 Jan Ala Speech-Language Pathologist 1111 W Morton, Speechworks, Jacksonville, IL 62650 2007-04-09
1083787592 Eldon G Barrowes Dds & Assoc PC Dentist 1515 West Walnut, Bldg #3, Jacksonville, IL 62650 2006-11-15
1194895979 Joseph J Kozma Internal Medicine 1440 West Walnut, Jacksonville, IL 62650 2006-11-08
1740350529 Susan Weller Dentist 1614 West Lafayette Avenue, Jackson, IL 62650 2006-11-08
1659467793 Shawn M Fry Family Medicine 610 N. Westgate, Jacksonville, IL 62650 2006-10-05
1518050061 Ward Richard Dunseth II Nurse Anesthetist, Certified Registered 1400 W Walnut, Jacksonville, IL 62650 2006-10-02
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134720519 Ashley Harms Counselor 4070 Herschel St Ste 1, Jacksonville, FL 32210-2239 2020-11-03
1902418684 Molly Ann Burkhardt Counselor 5776 Saint Augustine Rd # 8030, Jacksonville, FL 32207-8046 2020-08-23
1194335638 Aiteria Green Counselor 9713 Bridgeway Ave, Jacksonville, FL 32222-2913 2020-08-07
1053920116 Barbara Burden Counselor 209 N Carole Dr, Jacksonville, NC 28546-4845 2020-07-24
1790393973 Kelley Holladay Counselor 1782 Plantation Oaks Dr, Jacksonville, FL 32223-5010 2020-07-14
1629696646 Mary Ann Caldwell Counselor 2496 Northwoods Dr., Jacksonville, NC 28540 2020-07-07
1447877709 Quendria Johnson-kerns Counselor 200 Zonnie Ln, Jacksonville, NC 28540-9729 2020-07-02
1467077164 Shanna Horan Counselor 13500 Sutton Park Dr S Ste 702, Jacksonville, FL 32224-5290 2020-06-09
1720602527 Shannon E Raikes Counselor 13990 Bartram Park Blvd Unit 209, Jacksonville, FL 32258-5543 2020-06-08
1750905253 Kathlena N Reed Counselor 4131 University Blvd S Fl 32216, Jacksonville, FL 32216-4326 2020-06-01
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Competitor

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City JACKSONVILLE
Zip Code 62650

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Dataset Information

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.

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