STEPHEN L DEJAYNES (NPI# 1639410772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639410772 |
Entity Type | Individual |
Full Name | STEPHEN L DEJAYNES |
Credential | LCPC |
Practice Address |
100 Hillcrest Drive Washington IL 61571 |
Mailing Address |
414 Mackenie Place Germantown Hills IL 61548 |
Practice Telephone | 3094442800 |
Practice Fax Number | 3094442866 |
Mailing Telephone | 3092561654 |
Enumeration Date | 2013-03-14 |
Last Update Date | 2013-03-14 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
1041C700X | IL | Behavioral Health & Social Service Providers |
Street Address |
100 HILLCREST DRIVE |
City | WASHINGTON |
State | IL |
Zip Code | 61571 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164904504 | Kelly Hornberger | Physical Therapist | 1201 Newcastle Rd., Washington, IL 61571 | 2018-09-01 |
1073050407 | Jillyn Cross | Occupational Therapist | 14 Oxford Court, Washington, IL 61571 | 2017-01-24 |
1184998692 | One Counseling and Wellness | Counselor | 1003 North Cummings Lane, Washington, IL 61571 | 2012-03-01 |
1871878371 | M Lisa Kim | Pharmacist | 1700 Saddleridge Ct, Washington, IL 61571 | 2011-10-15 |
1073805156 | Skill Sprout International | Behavioral Analyst | 102 Walnut Street, Washington, IL 61571 | 2011-05-09 |
1659600948 | Skill Sprout, LLC | Behavioral Analyst | 128 Washington Square, Washington, IL 61571 | 2009-12-15 |
1700024916 | Julie Adams | Developmental Therapist | 700 S. Elm, Washington, IL 61571 | 2009-01-26 |
1851595128 | Michael John Herman | Dentist | 106 So Cummings Lane, Washington, IL 61571 | 2007-06-12 |
1861539132 | Gary Lee Cunningham | Dentist | 5 Laurel Ct., Washington, IL 61571 | 2007-01-30 |
1790745958 | Jane A Goeken | Physical Therapist | 209 North Cummings Lane, Washington, IL 61571 | 2006-03-23 |
Find all providers in zip 61571 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184225294 | Dominique Rashard Williams | Counselor | 4000 Kansas Ave Nw Apt 206, Washington, DC 20011-5743 | 2020-11-04 |
1932709326 | Amy Mall | Counselor | 353 O St Sw, Washington, DC 20024-2901 | 2020-10-27 |
1518565787 | Kathryn Paige Zorniger | Counselor | 712 H St Ne Ste 1056, Washington, DC 20002-3627 | 2020-10-11 |
1477150001 | Marlyse D Kouano | Counselor | 850 21st St Ne Apt 3, Washington, DC 20002-4131 | 2020-10-06 |
1609473750 | Asia Vianna Mack Leak | Counselor | 529 14th St Nw, Washington, DC 20045-1000 | 2020-10-01 |
1427665777 | C'aira Neal | Counselor | 4020 Minnesota Ave Ne Apt 636, Washington, DC 20019-3568 | 2020-09-29 |
1992312706 | Carolyn Elaine Gonterman | Counselor | 2223 40th St Nw Apt 2, Washington, DC 20007-1736 | 2020-09-25 |
1194338095 | Tanyi Mubang | Counselor | 6101 16th St Nw Apt 518, Washington, DC 20011-1761 | 2020-08-28 |
1932711488 | Claudia Mai Nguyen | Counselor | 20 F St Nw Ofc 757, Washington, DC 20001-6700 | 2020-08-17 |
1114538352 | Sarita Johnson | Counselor | 650 I St Se, Washington, DC 20003-2725 | 2020-08-12 |
Find all providers in WASHINGTON |
City | WASHINGTON |
Zip Code | 61571 |
Please comment or provide details below to improve the information on STEPHEN L DEJAYNES.
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.