KELLIE KENNEDY (NPI# 1447807284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447807284 |
Entity Type | Individual |
Full Name | KELLIE KENNEDY |
Practice Address |
1320 Union St Morris IL 60450-2426 |
Mailing Address |
1038 Dupont Ave Morris IL 60450-1296 |
Practice Telephone | 8159413404 |
Mailing Telephone | 8159413409 |
Enumeration Date | 2019-08-26 |
Last Update Date | 2019-08-26 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
22777 | IL | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942602701 | Kellie Rayann Kennedy | Counselor | 1234 Empire St, Suite 1500, Fairfield, CA 94533-5711 | 2014-09-23 |
Street Address |
1320 UNION ST |
City | MORRIS |
State | IL |
Zip Code | 60450-2426 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477686780 | Grundy County Health Department | Clinic/Center | 1320 Union St, Morris, IL 60450-2426 | 2007-03-14 |
1235787953 | Vessela Andreeva | Counselor | 1320 Union St, Morris, IL 60450-2426 | 2019-08-27 |
1184272908 | Sarah Beth Ezell | Counselor | 1320 Union St, Morris, IL 60450-2426 | 2019-08-27 |
1073161899 | Robin Cook | Counselor | 1320 Union St, Morris, IL 60450-2426 | 2019-08-27 |
1437707106 | Melissa Wasko | Counselor | 1320 Union St, Morris, IL 60450-2426 | 2019-08-27 |
1902453749 | Joann Feldges | Registered Nurse | 1320 Union St, Morris, IL 60450-2426 | 2019-08-26 |
1952958704 | Amber Boeschel | Counselor | 1320 Union St, Morris, IL 60450-2426 | 2019-08-26 |
1023665312 | Kayla Stamm | Counselor | 1320 Union St, Morris, IL 60450-2426 | 2019-08-21 |
1881081685 | Omar S Waqhar | Psychiatry & Neurology | 1320 Union St, Morris, IL 60450-2426 | 2015-04-20 |
1649429812 | Grundy County Health Department | Clinic/Center | 1320 Union St, Morris, IL 60450-2426 | 2008-09-12 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376144691 | Jessica Kubinski | Occupational Therapist | 1051 W, Us-6, Morris, IL 60450 | 2020-11-03 |
1922646652 | Anna Doherty | Counselor | Crossroads Counseling Services, 1802 N Division St Suite 509, Morris, IL 60450 | 2019-12-12 |
1003353764 | Crossroads Counseling Services, LLC | Community/Behavioral Health | 1802 N Division Street, Suite 509, Morris, IL 60450 | 2017-01-19 |
1780128249 | Lori Lynn Peterson | Nurse Practitioner | 8805 N Tabler Road, Health & Wellness Clinic, Morris, IL 60450 | 2016-12-18 |
1639613532 | Jodi Lynn Valencia | Licensed Practical Nurse | 114 E. Benton St., Morris, IL 60450 | 2016-12-12 |
1184001844 | Ashish G. Suthar | Pharmacist | 1600 West Route 6, Morris, IL 60450 | 2015-05-01 |
1255690574 | Tammy S. Zweeres | Nurse Practitioner | 936 W. U.S. Route 6, Morris, IL 60450 | 2012-05-07 |
1952682742 | Marie E Monhardt | Nurse Practitioner | 801 So Washington Str, Naperville, IL 60450 | 2011-09-07 |
1093024200 | Diane Marie Zuelke | Nurse Practitioner | 1802 N Division St Ste 703, Morris, IL 60450 | 2010-10-05 |
1063669182 | Athletic & Therapeutic Institute of Naperville, LLC | Physical Therapist | 201 East U.S. Route 6, Morris, IL 60450 | 2008-08-20 |
Find all providers in zip 60450 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861635393 | Dennis Robert Taffe | Counselor | 712 Atlantic Ave, Suite 3, Morris, MN 56267 | 2009-04-14 |
1295852754 | Christine Marie Banta | Counselor | 310 Montana Ave, Morris, MN 56267-1434 | 2007-03-22 |
1881796902 | Elizabeth Varnes | Counselor | 1401 Lakewood Dr Ste A, Morris, IL 60450-3352 | 2006-09-01 |
1023665312 | Kayla Stamm | Counselor | 1320 Union St, Morris, IL 60450-2426 | 2019-08-21 |
1558915546 | Robin Calhoun-palermo | Counselor | 1401 Lakewood Dr, Morris, IL 60450-3352 | 2019-07-28 |
1619147394 | John Moss | Counselor | 1320 Union St, Morris, IL 60450-2426 | 2008-03-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669071932 | Euginia Ivanova | Counselor | 3410 W. Roosevelt Rd, Chicago, IL 60624 | 2020-10-19 |
1093322638 | New Horizon Mental and Behavioral Services | Counselor | 12052 S Lockwood Ave, Alsip, IL 60803-3165 | 2020-09-28 |
1780299818 | Sophia Bilikovsky | Counselor | 3025 Monterey Ln, Wadsworth, IL 60083-8924 | 2020-09-15 |
1497360697 | Cassandra Lynn Wegner | Counselor | 2529 Ravinia Ln, Woodridge, IL 60517-2241 | 2020-09-14 |
1831703131 | Colleen Mertens | Counselor | 100 Tower Dr Ste 236, Burr Ridge, IL 60527-5787 | 2020-09-03 |
1073127775 | Deborah Lynn Dettman | Counselor | 1209 W Sherwin Ave Apt 809, Chicago, IL 60626-2257 | 2020-09-01 |
1417574203 | Kathy O Valentin | Counselor | 1640 Pleasant Ln, Glenview, IL 60025-1847 | 2020-06-29 |
1669098844 | James Earl Brooks I | Counselor | 523 Clark St, South Beloit, IL 61080-1317 | 2020-06-23 |
1780200014 | Anchorpoint Adolescent Consultant Group Inc. | Counselor | 1246 N Yale Ave, Arlington Heights, IL 60004-4564 | 2020-06-23 |
1891311502 | Ashlie Jones | Counselor | 3226 Hoffman St, Plano, IL 60545-1992 | 2020-06-18 |
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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.