AEON SOCIAL EMOTIONAL HEALTH (NPI# 1528387644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528387644 |
Entity Type | Organization |
Organization Name | AEON SOCIAL EMOTIONAL HEALTH |
Practice Address |
5016 N University St Suite 109 Peoria IL 61614-4781 |
Mailing Address |
Po Box 9665 Peoria IL 61612-9665 |
Practice Telephone | 3095734834 |
Practice Fax Number | 3122541423 |
Enumeration Date | 2010-05-28 |
Last Update Date | 2010-05-28 |
Authorized Official Name | KEVIN MCCLURE (OWNER) |
Authorized Official Telephone | 3095734834 |
Authorized Official Credential | LCPC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
180006803 | IL | Behavioral Health & Social Service Providers |
Street Address |
5016 N UNIVERSITY ST SUITE 109 |
City | PEORIA |
State | IL |
Zip Code | 61614-4781 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710957550 | Diane M Bittle | Social Worker | 5016 N University St, Suite 105, Peoria, IL 61614-4781 | 2006-01-24 |
1962020354 | Swanson Therapuetic Services LLC | Community/Behavioral Health | 5016 N University St, Peoria, IL 61614-4781 | 2020-07-11 |
1508214586 | Shine Therapy Services, LLC | Developmental Therapist | 5016 N University St, Suite 109, Peoria, IL 61614-4781 | 2016-05-31 |
1245535418 | Andrew S Bennington | Hearing Instrument Specialist | 5016 N University St, Ste 110, Peoria, IL 61614-4781 | 2011-01-20 |
1558663591 | Accuquest Hearing Center | Clinic/Center | 5016 N University St, Ste 110, Peoria, IL 61614-4781 | 2010-11-24 |
1316109283 | Junction Medical Sc | Internal Medicine | 5016 N University St, Peoria, IL 61614-4781 | 2008-07-01 |
1083874945 | Accurate Hearcare Corporation | Clinic/Center | 5016 N University St, Suite 110, Peoria, IL 61614-4781 | 2008-06-13 |
1871775460 | Erwin George Towne | Hearing Instrument Specialist | 5016 N University St, Suite #110, Peoria, IL 61614-4781 | 2007-12-05 |
1801078407 | Erwin Towne Co | Clinic/Center | 5016 N University St, Suite #110, Peoria, IL 61614-4781 | 2007-12-05 |
1659495802 | Robert Warren Stretch | Counselor | 5016 N University St, Suite # 103, Peoria, IL 61614-4781 | 2007-03-16 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548818511 | Christine Svoboda | Social Worker | 6919 N Knoxville Ave Ste 100 and 202, Peoria, IL 61614 | 2019-09-03 |
1639649007 | Kathy Karouzos Counseling, LLC | Clinic/Center | 330 W. Ivy Ln., Peoria, IL 61614 | 2018-11-28 |
1205312790 | Kathleen Marie Hendricks | Nurse Practitioner | 2809 W Willow Knolls Dr, Peoria, IL 61614 | 2018-07-17 |
1629563937 | Mary Elizabeth Cunningham | Counselor | 6219 N. Eldorado Dr., Peoria, IL 61614 | 2018-06-28 |
1861937955 | Angela Gilles | Social Worker | 6919 N Knoxville Ave Ste 100, Peoria, IL 61614 | 2016-12-27 |
1467994897 | Melissa Saxsma | Specialist | 5009 N Executive Dr, Peoria, IL 61614 | 2016-11-16 |
1902258874 | Rashid Plastic Surgery, LLC | Plastic Surgery | 804 W Trailcreek Drive, Peoria, IL 61614 | 2016-07-05 |
1215313143 | Melissa Lynn Phelan | Nurse Practitioner | 122 E Morningside Dr, Peoria, IL 61614 | 2015-08-03 |
1811380165 | All Ways Caring Services, Inc. | In Home Supportive Care | 6919 N Knoxville Ave, Suite 102, Peoria, IL 61614 | 2015-03-11 |
1568875920 | Schuler & Arkwell Orthodontic Partnership | Dentist | 2425 Cornerstone Ct. Ste. A, Peoria, IL 61614 | 2014-06-03 |
Find all providers in zip 61614 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942815303 | Lauren Hope Auer | Counselor | 10511 Churchill Dr, Peoria, IL 61615-1179 | 2020-09-12 |
1467070854 | Nicole Richardson | Counselor | 12121 W Remuda Dr, Peoria, AZ 85383-5864 | 2020-07-11 |
1265061972 | John Westerberg | Counselor | 3516 W Harmon Hwy, Peoria, IL 61604-5925 | 2020-04-04 |
1427681097 | Renae Miller Counseling, Pllc | Counselor | 7501 N University St Ste 131, Peoria, IL 61614-1298 | 2020-02-21 |
1265993562 | Michele Meigh | Counselor | 11361 N 99th Ave Ste 107, Peoria, AZ 85345-5469 | 2019-03-28 |
1821563081 | Arizona Consulting and Counseling Services | Counselor | 8263 W Thunderbird Rd Ste 100, Peoria, AZ 85381-4615 | 2018-10-03 |
1710460332 | Amy Kathleen Biegler | Counselor | 8500 N Knoxville Ave Ste A&b, Peoria, IL 61615-2079 | 2018-09-10 |
1447732045 | Kristin Mckenzie | Counselor | 8037 W Spur Dr, Peoria, AZ 85383-6221 | 2018-08-30 |
1629563937 | Mary Elizabeth Cunningham | Counselor | 6219 N. Eldorado Dr., Peoria, IL 61614 | 2018-06-28 |
1790223022 | Janet Warner | Counselor | 8914 North Prarie Court, Peoria, IL 61615 | 2017-02-07 |
Find all providers in PEORIA |
Please comment or provide details below to improve the information on AEON SOCIAL EMOTIONAL HEALTH.
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.