JILL HERRICK (NPI# 1649563198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649563198 |
| Entity Type | Individual |
| Full Name | JILL HERRICK |
| Other Name | JILL DEGONDA |
| Practice Address |
250 Alpine Dr Shelbyville KY 40065-8880 |
| Mailing Address |
101 W Muhammad Ali Blvd Louisville KY 40202-1423 |
| Practice Telephone | 5025898600 |
| Practice Fax Number | 5025898771 |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2012-07-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
250 ALPINE DR |
| City | SHELBYVILLE |
| State | KY |
| Zip Code | 40065-8880 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245255504 | Michael Reid Mayo | Psychiatry & Neurology | 250 Alpine Dr, Shelbyville, KY 40065-8880 | 2006-07-13 |
| 1053924845 | Rachel A Archer | Counselor | 250 Alpine Dr, Shelbyville, KY 40065-8880 | 2020-08-31 |
| 1033745492 | Sarah L Adams | Social Worker | 250 Alpine Dr, Shelbyville, KY 40065-8880 | 2020-03-18 |
| 1629472634 | Mari Lallier | Counselor | 250 Alpine Dr, Shelbyville, KY 40065-8880 | 2014-10-20 |
| 1063828630 | Cassandra Ellen Edinger | Counselor | 250 Alpine Dr, Shelbyville, KY 40065-8880 | 2014-07-03 |
| 1346652013 | Glenn Truman Harris | Psychologist | 250 Alpine Dr, Shelbyville, KY 40065-8880 | 2014-05-28 |
| 1023373123 | Jennifer L Conway | Social Worker | 250 Alpine Dr, 3rd Floor, Shelbyville, KY 40065-8880 | 2012-07-05 |
| 1942561915 | Teandra Young | Counselor | 250 Alpine Dr, Shelbyville, KY 40065-8880 | 2012-06-06 |
| 1265793905 | Edwin Raidt | Counselor | 250 Alpine Dr, Shelbyville, KY 40065-8880 | 2012-05-30 |
| 1073897476 | Amanda Cisneros | Counselor | 250 Alpine Dr, Shelbyville, KY 40065-8880 | 2011-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013348242 | Elisa Sykes-brees | Counselor | 250 Alpine Drive, Shelbyville, KY 40065 | 2013-12-13 |
| 1073800512 | Mimi Y. R. Rayburn | Nurse Practitioner | 865 Old Taylorsville Rd, Shelbyville, KY 40065 | 2011-07-05 |
| 1124310677 | Amanda B Dassel | Pharmacist | 1605 Midland Trail, Shelbyville, KY 40065 | 2011-05-03 |
| 1639468812 | Tia M Alton | Pediatrics | 150 Frankfort Rd Ste 101, Shelbyville, KY 40065 | 2011-03-29 |
| 1699073338 | Emily Ann Waits | Dietitian, Registered | 615 11th Street, Shelby County Health Dept., Shelbyville, KY 40065 | 2011-03-04 |
| 1124335401 | Kelli L. Fetter | Occupational Therapist | 1900 Midland Trail, Ste 1 & 2, Shelbyville, KY 40065 | 2010-09-08 |
| 1083939425 | Marilyn Louise Rhoads | Licensed Practical Nurse | 615 Washington Street, Mercy Clinic, Shelbyville, KY 40065 | 2010-03-29 |
| 1154525277 | Dorman Preschool Center | Early Intervention Provider Agency | 719 Burks Branch Road, Shelbyville, KY 40065 | 2007-06-13 |
| 1194946368 | Joanna Sames | Pharmacist | 16 Village Plaza, Shelbyville, KY 40065 | 2007-05-02 |
| 1033298922 | Robyn A Keeling | Dentist | 502 Mount Eden Rd, Shelbyville, KY 40065 | 2006-11-03 |
| Find all providers in zip 40065 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639614126 | Yolanda Williams | Counselor | 77 Mack Walters Rd Ste 102, Shelbyville, KY 40065-1790 | 2016-12-20 |
| 1013348242 | Elisa Sykes-brees | Counselor | 250 Alpine Drive, Shelbyville, KY 40065 | 2013-12-13 |
| 1700228327 | Virginia Lynn Hall | Counselor | 207 Ray St, Shelbyville, TN 37160-2919 | 2013-07-24 |
| 1205074291 | Debera Bragg | Counselor | 1620 S Miller St, Shelbyville, IN 46176-2951 | 2009-01-28 |
| 1437309358 | Kent Huber | Counselor | 2325 Intelliplex Dr Ste 207, Shelbyville, IN 46176-8546 | 2008-09-27 |
| 1073734711 | Katherine M Leugers | Counselor | 7 E Hendricks Street, Shelbyville, IN 46176 | 2007-05-01 |
| 1821008707 | Donald Rech | Counselor | 18 E Mechanic, Shelbyville, IN 46176 | 2006-08-09 |
| 1063420560 | Heather Ann Phillips | Counselor | 18 E Mechanic St, Shelbyville, IN 46176-1318 | 2006-08-03 |
| 1124585815 | David Mark Shetler | Counselor | 604 S Wall St, Shelbyville, TN 37160-3797 | 2019-02-28 |
| 1891241220 | Mallory Garner | Counselor | 604 S Wall St, Shelbyville, TN 37160-3797 | 2016-08-26 |
| Find all providers in SHELBYVILLE | ||||
| City | SHELBYVILLE |
| Zip Code | 40065 |
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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.