ILSA WALDEN (NPI# 1518391333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518391333 |
| Entity Type | Individual |
| Full Name | ILSA WALDEN |
| Credential | MS |
| Practice Address |
210 Avenue C Danville IL 61832-5410 |
| Practice Telephone | (217) 442-3200 |
| Practice Fax Number | 2174427460 |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2017-05-24 |
| 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 |
210 AVENUE C |
| City | DANVILLE |
| State | IL |
| Zip Code | 61832-5410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487661930 | Bumyong Lee | Psychiatry & Neurology | 210 Avenue C, Danville, IL 61832-5410 | 2006-08-01 |
| 1598375552 | Kristy Smith | Counselor | 210 Avenue C, Danville, IL 61832-5410 | 2020-08-05 |
| 1700426517 | James Andrew Dewey | Counselor | 210 Avenue C, Danville, IL 61832-5410 | 2020-01-09 |
| 1225672173 | Yue Zhang | Counselor | 210 Avenue C, Danville, IL 61832-5410 | 2019-11-04 |
| 1588208441 | Wendy Briana Graham | Counselor | 210 Avenue C, Danville, IL 61832-5410 | 2019-11-04 |
| 1396395315 | Levi James Farren | Counselor | 210 Avenue C, Danville, IL 61832-5410 | 2019-09-12 |
| 1558911479 | Lexi Jo Brooks | Counselor | 210 Avenue C, Danville, IL 61832-5410 | 2019-09-12 |
| 1629625611 | Jason Nathaniel Lucas | Counselor | 210 Avenue C, Danville, IL 61832-5410 | 2019-08-23 |
| 1659932630 | Michael Mccabe Barclay-weir | Counselor | 210 Avenue C, Danville, IL 61832-5410 | 2019-06-21 |
| 1467019547 | Aliceson Treach | Counselor | 210 Avenue C, Danville, IL 61832-5410 | 2019-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316593957 | Margaret Jean Heath | Technician | 310 N North St, Danville, IL 61832 | 2019-08-09 |
| 1215494620 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 3653 N Vermilion Dr, Danville, IL 61832 | 2019-02-22 |
| 1003263104 | Bayview Family Clinic | Nurse Practitioner | 3595 N Vermillion Street, Danville, IL 61832 | 2016-05-18 |
| 1194179499 | Kinisha Vasser | Social Worker | 1900 E. Main Steet, Danville, IL 61832 | 2016-04-22 |
| 1023497237 | Alpha Omega Counseling Services | Community/Behavioral Health | 120 N Vermilion, Danville, IL 61832 | 2015-05-20 |
| 1437557568 | Terri D. Dunn | Hearing Instrument Specialist | 733 N. Logan #4, Audibel Hearing Aids, Danville, IL 61832 | 2014-12-05 |
| 1518361682 | Rosemarie Renee Eck | Nurse Practitioner | 1900 E Main St, Bldg 101-171, Va Illiana Health Care System, Danville, IL 61832 | 2014-10-17 |
| 1497181747 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 3649 N. Vermillion St., Danville, IL 61832 | 2013-09-18 |
| 1598000770 | Bayview Family Clinic Ltd | Health Maintenance Organization | 405 N. Sheridan St., Danville, IL 61832 | 2012-11-29 |
| 1992052666 | Katharine Lorraine Lerner | Pharmacist | 3649 N Vermilion St, Danville, IL 61832 | 2012-08-13 |
| Find all providers in zip 61832 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841898087 | Patrick Oneil Garland Sr. | Counselor | 874 Claiborne St, Danville, VA 24540-3636 | 2020-10-10 |
| 1225641335 | Kenny E Lewis | Counselor | 519 Downing Dr, Danville, VA 24541-5208 | 2020-08-28 |
| 1619514312 | Glory Days Support Service, LLC | Counselor | 625 Piney Forest Rd, Suite 302c, Same, Danville, VA 24540 | 2019-12-02 |
| 1376189613 | Camilla Petty | Counselor | 265 Piney Forest Road Suite 302 C, Danville, VA 24540 | 2019-11-21 |
| 1659832483 | Steven Jeffrey Burdette | Counselor | 100 Berwick Dr, Danville, KY 40422-2722 | 2019-03-26 |
| 1033677695 | Shannon Holland Erwin | Counselor | 475 W Main St Suite 160, Danville, KY 40422 | 2019-03-03 |
| 1841766334 | Sarah Louise Dearment | Counselor | Geisinger Medical Center: Department of Psychiatry, 100 N. Academy Avenue, Danville, PA 17822 | 2018-10-23 |
| 1124517131 | Breaking Through: A Clinical & Consulting Firm, Inc. | Counselor | 177 Riverview Dr Uppr Level, Danville, VA 24541-3419 | 2018-05-04 |
| 1033620455 | Ghazala A Khan | Counselor | 115 Town and Country, Danville, CA 94568-9456 | 2017-10-12 |
| 1780124529 | Natasha Taylor | Counselor | 461 South 4th Street, Danville, KY 40422 | 2017-02-27 |
| Find all providers in DANVILLE | ||||
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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.