SHELLEY GORENZ


Address: 1009 S. Main St., Princeton, IL 61356
Phone: 8158766285

SHELLEY GORENZ (NPI# 1548698558) 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) 1548698558
Entity Type Individual
Full Name SHELLEY GORENZ
Credential :LCPC LSW
Practice Address 1009 S. Main St.
Princeton
IL 61356
Mailing Address 1009 S Main St
Princeton
IL 61356-2434
Practice Telephone 8158766285
Practice Fax Number 8158751267
Mailing Telephone 8158766285
Mailing Fax Number 8158751267
Enumeration Date 2013-10-30
Last Update Date 2013-10-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
180001089 IL Behavioral Health & Social Service Providers

Office Location

Street Address 1009 S. MAIN ST.
City PRINCETON
State IL
Zip Code 61356

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780016626 Jennifer Phillips Pharmacist 610 N. Main St., Princeton, IL 61356 2013-08-02
1477848521 Princeton Prompt Care LLC Clinic/Center 2128 North Main Street, Princeton, IL 61356 2011-06-16
1306014196 Lifefit Physical Rehab, Ltd. Clinic/Center 1225 N. Sixth St., Princeton, IL 61356 2008-02-14
1568669778 Hawthorne Inn Supportive Living Facility Assisted Living Facility 136 N. Sixth St., Princeton, IL 61356 2007-06-29
1720209240 Michelle Lee Mortensen Music Therapist 816 S. First St., Princeton, IL 61356 2007-05-01
1073733465 Jarred Allen Farrell Chiropractor 682 East Peru Street, Princeton, IL 61356 2007-04-26
1952488397 Donald R Marion Optometrist 2 Park Avenue West, Princeton, IL 61356 2006-11-01
1427138247 Bruce Waldo Shriver Dentist 422 E Peru St, Princeton, IL 61356 2006-10-16
1871689612 Jason A Monroe Dentist 334 Backbone Rd East, Princeton, IL 61356 2006-10-05
1447362629 Paul Thomas Castelein Dentist 129 North Main Street, Princeton, IL 61356 2006-08-31
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922624840 Cherie M. Barton Counselor 6415 Fm 546 Lot 2, Princeton, TX 75407-4097 2020-06-17
1215577515 Contee Botchford Moschberger Counselor 353 Nassau St, Princeton, NJ 08540-4623 2020-01-14
1841787900 Magdalena Furniss Counselor 20 Nassau St Ste 226, Princeton, NJ 08542-4505 2018-04-15
1417451725 Poonam D Patel Counselor 14 Farber Rd Ste 112, Princeton, NJ 08540-5913 2018-03-21
1679090344 Sudha Nagarajan Counselor 145 Witherspoon St., Suite A7, Princeton, NJ 08540 2017-08-24
1437695756 Kimberly Beury Counselor 29 Leigh Ave, Princeton, NJ 08542-3111 2017-01-10
1598120123 Eclectic Dragonfly Therapy Services, Pllc Counselor 108 6th Ave S, Princeton, MN 55371-1820 2015-12-26
1619344504 Danice C. Banda Counselor 4499 Route 27 Ste 1, Princeton, NJ 08540-8717 2015-08-26
1477939460 Kathy Diane Wyrick Counselor 220 South Walker Street, Princeton, WV 24740 2015-08-03
1083043798 Esther Mills Counselor 218 Birch Ave, Princeton, NJ 08542-3106 2013-11-03
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Competitor

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City PRINCETON
Zip Code 61356

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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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