JODI KNOX-HOLUB LLC (NPI# 1558707745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558707745 |
| Entity Type | Organization |
| Organization Name | JODI KNOX-HOLUB LLC |
| Practice Address |
5016 North University Street Suite 101 Peoria IL 61614-4763 |
| Mailing Address |
3216 Veterans Dr Pekin IL 61554-9315 |
| Practice Telephone | 3092317407 |
| Mailing Telephone | 3092317407 |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2014-07-08 |
| Authorized Official Name | JODI KNOX-HOLUB (OWNER) |
| Authorized Official Telephone | 3092317407 |
| Authorized Official Credential | LCPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 180007560 | IL | Agencies |
| Street Address |
5016 NORTH UNIVERSITY STREET SUITE 101 |
| City | PEORIA |
| State | IL |
| Zip Code | 61614-4763 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205945912 | Shaukat Ali Khan | Psychiatry & Neurology | 5016 North University Street, Suite 104, Peoria, IL 61614-4763 | 2006-08-29 |
| 1841594462 | Jodi Knox | Counselor | 5016 North University Street, Suite 101, Peoria, IL 61614-4763 | 2010-12-23 |
| 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 | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
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|---|---|---|---|---|
| 1932700929 | True Wellness Support Services | Community/Behavioral Health | 8936 W Villa Rita Dr, Peoria, AZ 85382-3021 | 2020-11-05 |
| 1881209583 | Alpine Villa Group LLC | Community/Behavioral Health | 8845 W Potter Dr, Peoria, AZ 85382-6428 | 2020-09-10 |
| 1013556687 | Greystone House 2, LLC | Community/Behavioral Health | 27490 N Higuera Dr, Peoria, AZ 85383-4859 | 2019-12-31 |
| 1659921427 | Terpro LLC | Community/Behavioral Health | 8175 W Ludlow Dr Unit 222, Peoria, AZ 85381-4796 | 2019-09-13 |
| 1528614807 | Sage Counseling, Inc. | Community/Behavioral Health | 8805 W Union Hills Dr Ste 100, Peoria, AZ 85382-8153 | 2019-08-13 |
| 1336607613 | Angel Kids Academy LLC | Community/Behavioral Health | 8910 W Monroe St, Peoria, AZ 85345-6440 | 2019-03-06 |
| 1699269647 | Radu Marinescu | Community/Behavioral Health | 9140 W Hearn Rd, Peoria, AZ 85381-3790 | 2018-06-21 |
| 1740787753 | Pathway Youth and Family Services LLC | Community/Behavioral Health | 9794 W Peoria Ave Ste 13, Peoria, AZ 85345-6138 | 2018-04-07 |
| 1396262044 | Az Behavioral Health Services LLC | Community/Behavioral Health | 9791 W Butler Dr, Peoria, AZ 85345-3725 | 2017-08-24 |
| 1992163380 | Treatment Alternatives for Safe Communities | Community/Behavioral Health | 108 Sw Madison Ave, Peoria, IL 61602-1107 | 2016-02-01 |
| Find all providers in PEORIA | ||||
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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.