KEITH AARON KUTNAR (NPI# 1689047730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689047730 |
| Entity Type | Individual |
| Full Name | KEITH AARON KUTNAR |
| Credential | LPC |
| Practice Address |
2100 Manchester Rd Suite 1510 Wheaton IL 60187-4579 |
| Practice Telephone | 6306531717 |
| Practice Fax Number | 6303441087 |
| Mailing Telephone | 6306531717 |
| Mailing Fax Number | 6303441087 |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2015-11-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
178.011414 | IL | Behavioral Health & Social Service Providers |
| Street Address |
2100 MANCHESTER RD SUITE 1510 |
| City | WHEATON |
| State | IL |
| Zip Code | 60187-4579 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134181902 | Pamela Diane Trice | Counselor | 2100 Manchester Rd, Suite 900, Wheaton, IL 60187-4579 | 2006-04-05 |
| 1760097604 | Ashley Renae Lisek | Registered Nurse | 2100 Manchester Rd, Wheaton, IL 60187-4579 | 2020-09-08 |
| 1255967501 | Jing Wang | Psychologist | 2100 Manchester Rd, Wheaton, IL 60187-4579 | 2020-03-18 |
| 1386119618 | Kristy Gargano | Social Worker | 2100 Manchester Rd, Wheaton, IL 60187-4579 | 2018-10-13 |
| 1558801779 | Megan Olson | Counselor | 2100 Manchester Rd, Suite 1510, Wheaton, IL 60187-4579 | 2017-03-07 |
| 1669838769 | M Kathleen Hayden | Psychologist | 2100 Manchester Rd, Ste. # 1510, Wheaton, IL 60187-4579 | 2016-01-06 |
| 1346663713 | Kelly Marquie | Psychologist | 2100 Manchester Rd, Suite 1510, Wheaton, IL 60187-4579 | 2014-01-21 |
| 1902229370 | Jane Jung | Psychologist | 2100 Manchester Rd, Suite 1510, Wheaton, IL 60187-4579 | 2014-01-21 |
| 1629491097 | Kymberly Larson | Clinical Neuropsychologist | 2100 Manchester Rd, Suite 1510, Wheaton, IL 60187-4579 | 2014-01-21 |
| 1679913883 | Kee Counseling LLC | Counselor | 2100 Manchester Rd, Suite 400-b, Wheaton, IL 60187-4579 | 2013-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811510738 | Arielle Susan Kalvelage | Counselor | Central Public Health Center (cphc), 111 N. County Farm Road, Wheaton, IL 60187 | 2020-05-27 |
| 1801418363 | Peter Gerard Harvey | Acupuncturist | 200 East Willow Avenue, Suite 202, Wheaton, IL 60187 | 2020-05-07 |
| 1760028823 | Teresa Clasen | Counselor | 222 Willow Ave, Wheaton, IL 60187 | 2019-11-25 |
| 1821630757 | Eastern Healing Inc. | Acupuncturist | 200 E. Willow Ave., Suite 202, Wheaton, IL 60187 | 2019-10-11 |
| 1952816282 | Caprishea Jones | Counselor | 111 N County Farm Road, Wheaton, IL 60187 | 2017-12-08 |
| 1265880330 | Bryan Cairncross | Specialist/Technologist | 1503 Beecher Ave., Wheaton, IL 60187 | 2016-05-31 |
| 1811357544 | Patricia Diaz | Nurse Practitioner | 0n620 West Street, Wheaton, IL 60187 | 2016-02-23 |
| 1962819227 | Breakthrough Care Center | Clinic/Center | 150 E. Willow Ave, Ste 100, Wheaton, IL 60187 | 2014-07-18 |
| 1780005587 | Kyler Mulhauser | Counselor | 600 W. Roosevelt Rd, Suite A2, Wheaton, IL 60187 | 2013-12-20 |
| 1538593074 | Deborah Bates | Psychologist | 300 E Roosevelt Rd Ste 105, Wheaton, IL 60187 | 2013-08-31 |
| Find all providers in zip 60187 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811510738 | Arielle Susan Kalvelage | Counselor | Central Public Health Center (cphc), 111 N. County Farm Road, Wheaton, IL 60187 | 2020-05-27 |
| 1760028823 | Teresa Clasen | Counselor | 222 Willow Ave, Wheaton, IL 60187 | 2019-11-25 |
| 1790329142 | Wayne G Hill | Counselor | 1746 Trent Ct, Wheaton, IL 60189-7726 | 2019-10-29 |
| 1679039481 | Kimberly Melton Lechner | Counselor | 319 S Naperville Rd Ste 203, Wheaton, IL 60187-5462 | 2019-02-17 |
| 1184103855 | Concierge Therapy Services | Counselor | 114 N Hale St, Wheaton, IL 60187-5152 | 2018-08-13 |
| 1639671241 | Elizabeth Bodett-dresser | Counselor | 115 N Main St Apt 2, Wheaton, IL 60187-5337 | 2018-02-28 |
| 1952816282 | Caprishea Jones | Counselor | 111 N County Farm Road, Wheaton, IL 60187 | 2017-12-08 |
| 1518330232 | Molly Ansari | Counselor | 2100 Manchester Rd Ste 400g, Wheaton, IL 60187-4593 | 2015-11-03 |
| 1952770091 | Mindy Rushford | Counselor | 208 N Erie St, Wheaton, IL 60187-4538 | 2015-09-18 |
| 1508258732 | Fireside Counseling LLC | Counselor | 101 1/2 E Front St, Suite 106, Wheaton, IL 60187-5334 | 2015-02-25 |
| Find all providers in WHEATON | ||||
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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.