DR. KENNETH B MASI (NPI# 1578821641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578821641 |
| Entity Type | Individual |
| Full Name | DR. KENNETH B MASI |
| Credential | PHD, |
| Practice Address |
105 W Jefferson St Bloomington IL 61701-3904 |
| Practice Telephone | 3095323700 |
| Mailing Telephone | 3095323700 |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2012-04-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP1600X |
Counselor Specialization: Pastoral |
Behavioral Health & Social Service Providers |
| Street Address |
105 W JEFFERSON ST |
| City | BLOOMINGTON |
| State | IL |
| Zip Code | 61701-3904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770140964 | County of Mclean | Community/Behavioral Health | 200 W Front St, 1st Floor Sw, C/o 200 W Front St, Suite 400f, Bloomington, IL 61701 | 2019-05-22 |
| 1023525292 | Karli Johnson | Counselor | 200 W Monroe St Ste C7, Bloomington, IL 61701 | 2018-01-09 |
| 1487172409 | Melody Ann Bauman | Physician Assistant | 1505 Eastland Dr, Osf Critical Cane, Pulmonary, Sleep M, Bloomington, IL 61701 | 2017-08-30 |
| 1215396288 | Heidi Larsen | Social Worker | 902 S East St, Bloomington, IL 61701 | 2016-02-18 |
| 1558735126 | Andrea E. Andrews Counseling LLC | Counselor | 200 W. Monroe St., Ste 302 C, Bloomington, IL 61701 | 2015-11-19 |
| 1174924856 | Carole Hahn | Dietitian, Registered | 1406 Forrest St, Bloomington, IL 61701 | 2014-09-12 |
| 1558786392 | Valerie Colleen Parker | Counselor | 109 W. Mulberry St., Bloomington, IL 61701 | 2014-03-04 |
| 1124459219 | Matilde Francois | Surgery | 1505 Eastland Dr Ste 2300, Bloomington, IL 61701 | 2013-11-27 |
| 1922435114 | Smitha H Shivaprasad | Pharmacist | 2611 East Oakland Avenue, Bloomington, IL 61701 | 2013-10-02 |
| 1295161941 | Ashvin Patel | Obstetrics & Gynecology | 31 Country Club Pl, Bloomington, IL 61701 | 2013-09-25 |
| Find all providers in zip 61701 | ||||
| Taxonomy Code | 101YP1600X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Pastoral |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952550741 | Ruth Ellen Benjamin | Counselor | 10800 Lyndale Ave S Ste 191, Bloomington, MN 55420-5614 | 2008-09-16 |
| 1609053289 | Laurette Frazier | Counselor | 2815 E. 10th Street, Stone Belt, Bloomington, IN 47408 | 2008-01-26 |
| 1811272214 | Joseph M Krol | Counselor | 1003 Martin Luther King Dr, Bloomington, IL 61701-1429 | 2011-10-17 |
| 1700190808 | Mary Kathleen Gosse | Counselor | 10800 Lyndale Ave S, Suite 191, Bloomington, MN 55420-5614 | 2010-07-30 |
| 1235456146 | Lynnette Carlson | Counselor | 1319 W Bloomfield Rd, Bloomington, IN 47403-2000 | 2010-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992853 | Krista Lynae Lambert | Counselor | 1064 Plum Tree Dr, Crystal Lake, IL 60014-8310 | 2020-11-05 |
| 1568093391 | Mickenzie Crowley | Counselor | 27w140 Roosevelt Rd Ste 203, Winfield, IL 60190-1641 | 2020-01-30 |
| 1154962181 | Christopher Spenner | Counselor | 229 East Poplar Street, Noble, IL 62868 | 2019-10-01 |
| 1790336071 | Carlene Appel | Counselor | 256 Fremont Ct, Bloomingdale, IL 60108-1818 | 2019-09-27 |
| 1902395064 | Eden Development Network | Counselor | 17470 Sterling Ave, Country Club Hills, IL 60478-4982 | 2018-05-04 |
| 1982128195 | Molly Hoogerwerf | Counselor | 117 Irvine St Ste B, Galena, IL 61036-1365 | 2017-07-29 |
| 1134658594 | David Sommer | Counselor | 1460 Umbdenstock Rd, Elgin, IL 60123 | 2017-06-08 |
| 1952841686 | Frank Zimmerman | Counselor | 6816 N 2nd St, Machesney Park, IL 61115-3704 | 2017-02-28 |
| 1932648375 | Vickie Mccarty | Counselor | 822 W Vermilion St, Catlin, IL 61817-9644 | 2017-02-17 |
| 1053786665 | Patrick Froelich | Counselor | 114 S Neil St, Champaign, IL 61820-4910 | 2015-12-08 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMINGTON |
| Zip Code | 61701 |
Please comment or provide details below to improve the information on DR. KENNETH B MASI.
| 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.