MARY GRANT (NPI# 1689144420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689144420 |
| Entity Type | Individual |
| Full Name | MARY GRANT |
| Credential | LPC |
| Practice Address |
411 W Division St Manteno IL 60950-1065 |
| Mailing Address |
Po Box 322 Watseka IL 60970-0322 |
| Practice Telephone | 8154325241 |
| Enumeration Date | 2018-12-04 |
| Last Update Date | 2018-12-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
178008312 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700339173 | Mary Grant | Dentist | 5160 S Pulaski Rd, Suite 102, Chicago, IL 60632-4253 | 2016-08-02 |
| 1619295003 | Mary L Grant | Registered Nurse | 912 Karl St, Green Bay, WI 54301-2225 | 2010-05-10 |
| 1114139581 | Mary Elizabeth Grant | Registered Nurse | 1120 63rd St S, Gulfport, FL 33707-3125 | 2007-05-05 |
| 1629029434 | Mary Christine Grant | Psychologist | 1655 Elmwood Ave, Ste 135, Rochester, NY 14620 | 2006-05-15 |
| 1558321208 | Mary Alyster Grant | Optometrist | 2755 E Desert Inn Rd, #700, Las Vegas, NV 89121-3690 | 2006-03-26 |
| 1811989379 | Mary E Grant | Nurse Practitioner | 6410 Ne Halsey Street, Suite 300, Portland, OR 97213-4742 | 2005-08-19 |
| 1306382056 | Mary Grant | Registered Nurse | 3851 Rosecrans St, San Diego, CA 92110-3115 | 2017-01-18 |
| 1265988141 | Mary Catherine Grant | Counselor | 2910 Briarcliffe Rd Ste A, Winston Salem, NC 27106-3177 | 2016-08-30 |
| 1295172518 | Mary Diane Grant | Social Worker | 4001 W Dayton St, Mchenry, IL 60050-8377 | 2013-05-28 |
| 1669707360 | Mary Elizabeth Grant | Counselor | 1380 Rte 286 Hwy E, Indiana, PA 15701-1461 | 2009-10-14 |
| Street Address |
411 W DIVISION ST |
| City | MANTENO |
| State | IL |
| Zip Code | 60950-1065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194967786 | Margaret Garay Sullivan | Counselor | 411 W Division St, Manteno, IL 60950-1065 | 2009-03-30 |
| 1831729474 | Kenzie Taff | Counselor | 411 W Division St, Manteno, IL 60950-1065 | 2020-01-23 |
| 1134759954 | Emily Subach | Counselor | 411 W Division St, Manteno, IL 60950-1065 | 2020-01-21 |
| 1770113896 | Kayleigh Kastelein | Counselor | 411 W Division St, Manteno, IL 60950-1065 | 2020-01-16 |
| 1639734379 | Iroquois Mental Health Center | Community/Behavioral Health | 411 W Division St, Manteno, IL 60950-1065 | 2019-05-08 |
| 1730641077 | Russell Allee | Counselor | 411 W Division St, Manteno, IL 60950-1065 | 2019-04-04 |
| 1700348760 | Emily Valentine | Counselor | 411 W Division St, Manteno, IL 60950-1065 | 2019-04-01 |
| 1245799378 | Jerry Crockrell | Counselor | 411 W Division St, Manteno, IL 60950-1065 | 2019-03-18 |
| 1255802732 | Michele Forsythe | Counselor | 411 W Division St, Manteno, IL 60950-1065 | 2018-12-10 |
| 1669942413 | Helen Riberdy | Counselor | 411 W Division St, Manteno, IL 60950-1065 | 2018-12-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710344338 | Specialized Assistance Services, Nfp | Clinic/Center | 333 W Evergreen St, Manteno, IL 60950 | 2016-01-27 |
| 1588004667 | Nexus Family Healing | Residential Treatment Facility, Emotionally Disturbed Children | 175 Evergreen, Manteno, IL 60950 | 2013-07-03 |
| 1649610841 | Nexus Family Healing | Residential Treatment Facility, Emotionally Disturbed Children | 325 Hemlock, Manteno, IL 60950 | 2013-07-02 |
| 1811337280 | Nexus Family Healing | Residential Treatment Facility, Emotionally Disturbed Children | 215 Hemlock, Manteno, IL 60950 | 2013-07-01 |
| 1407296981 | Nexus Family Healing | Residential Treatment Facility, Emotionally Disturbed Children | 365 Hemlock, Manteno, IL 60950 | 2013-06-28 |
| 1760822142 | Nexus Family Healing | Residential Treatment Facility, Emotionally Disturbed Children | 185 Chestnut, Manteno, IL 60950 | 2013-06-28 |
| 1598105975 | Nexus Family Healing | Residential Treatment Facility, Emotionally Disturbed Children | 280 Ironwood, Manteno, IL 60950 | 2013-06-28 |
| 1942640339 | Nexus Family Healing | Residential Treatment Facility, Emotionally Disturbed Children | 360 Ironwood, Manteno, IL 60950 | 2013-06-28 |
| 1215377692 | Nexus Family Healing | Residential Treatment Facility, Emotionally Disturbed Children | 110 Evergreen, Manteno, IL 60950 | 2013-06-28 |
| 1972862787 | Karl A Keller | Dentist | 312 W. Division, Manteno, IL 60950 | 2012-05-14 |
| Find all providers in zip 60950 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194967786 | Margaret Garay Sullivan | Counselor | 411 W Division St, Manteno, IL 60950-1065 | 2009-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457952194 | Hope Kravetz | Counselor | 815 Belinder Ln, Schaumburg, IL 60173-6360 | 2020-11-07 |
| 1609477579 | Shantrell Patrice Sutton | Counselor | 5042 W Erie St, Chicago, IL 60644-1604 | 2020-11-05 |
| 1073114591 | Alternative Schools Network | Counselor | 1807 W Sunnyside Ave, Chicago, IL 60640-5898 | 2020-11-02 |
| 1992306518 | Gravity and Grace Psychotherapy, Pllc | Counselor | 1305 S Michigan Ave Apt 602, Chicago, IL 60605-3398 | 2020-11-02 |
| 1811597263 | April Wilburne | Counselor | 804 E 54th St Apt 3, Chicago, IL 60615-4972 | 2020-10-27 |
| 1043810393 | Pamela Kranyak | Counselor | 30 N Michigan Ave Ste 925, Chicago, IL 60602-3463 | 2020-10-27 |
| 1831798404 | Erin Frasco | Counselor | 622 Davis St # 200, Evanston, IL 60201-4491 | 2020-10-23 |
| 1568061224 | Alternative Counseling Solutions, Inc | Counselor | 6469 E Mccormick Rd, Stillman Valley, IL 61084-9736 | 2020-10-22 |
| 1396344537 | Janet M Wills | Counselor | 223 N Prospect Ave, Streamwood, IL 60107-4103 | 2020-10-19 |
| 1225637614 | Sharice Ellenwood | Counselor | 1087 N Village Dr, Round Lake Beach, IL 60073 | 2020-10-18 |
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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.