KELSEY MCNICHOLS


Address: 206 W 5th St, Metropolis, IL 62960-1810
Phone: 6185249368

KELSEY MCNICHOLS (NPI# 1699306332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699306332
Entity Type Individual
Full Name KELSEY MCNICHOLS
Credential MHP
Practice Address 206 W 5th St
Metropolis
IL 62960-1810
Mailing Address 6667 Powers Church Rd
Metropolis
IL 62960-6029
Practice Telephone 6185249368
Mailing Telephone 6186452028
Enumeration Date 2020-01-31
Last Update Date 2020-02-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor IL Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
IL ANY OTHER 101Y00000X 01
IL 101Y00000X 05

Office Location

Street Address 206 W 5TH ST
City METROPOLIS
State IL
Zip Code 62960-1810

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902419583 Brittney Lynn Woods Counselor 206 W 5th St, Metropolis, IL 62960-1810 2020-08-25
1447863063 Maribeth Dippie Ethridge-hicks Counselor 206 W 5th St, Metropolis, IL 62960-1810 2020-08-24
1093327322 Jessica Weaver Counselor 206 W 5th St, Metropolis, IL 62960-1810 2020-08-18
1023636479 Jennea Harris Counselor 206 W 5th St, Metropolis, IL 62960-1810 2020-07-13
1831725050 Shantaye Powell Social Worker 206 W 5th St, Metropolis, IL 62960-1810 2020-03-19
1649827155 Tina Michelle Mathis Social Worker 206 W 5th St, Metropolis, IL 62960-1810 2019-08-20
1376190884 Lily Madison Holland Social Worker 206 W 5th St, Metropolis, IL 62960-1810 2019-08-20
1629530498 Cicely Ronielle Shelton Counselor 206 W 5th St, Metropolis, IL 62960-1810 2019-04-02
1013471424 Dylan Wade Street Student in an Organized Health Care Education/Training Program 206 W 5th St, Metropolis, IL 62960-1810 2019-01-30
1336603877 Cynthia Lynn Dunevnt Counselor 206 W 5th St, Metropolis, IL 62960-1810 2019-01-29
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972069078 Amber Nicole Garcia Social Worker 205 W 5th Street, Metropolis, IL 62960 2019-02-13
1407251622 Massac County Surgery Center LLC Clinic/Center 1811 E 5th St, Metropolis, IL 62960 2014-10-30
1750535761 Robert Hays Bryan Dentist 805 Market St., Metropolis, IL 62960 2008-11-05
1518144682 Rebecca Louise Mcquage Counselor 206 West 5th St, Metropolis, IL 62960 2008-01-30
1154640902 Syed S Kazmi Family Medicine 12 Hospital Drive, Metropolis, IL 62960 2007-04-20
1083736680 Bharat K Patel Sc Internal Medicine 12 Hospital Dr., Memorial Heights, Metropolis, IL 62960 2007-04-04
1467594747 Peggy Sue Legereit Speech-Language Pathologist 3037 Lakeview Dr, Metropolis, IL 62960 2007-02-13
1821150475 Ruth E Johnson Counselor 206 West 5th, Metropolis, IL 62960 2006-12-13
1720140379 James Allen Haley Counselor 206 West 5th Street, Metropolis, IL 62960 2006-12-13
1659432185 Gary T Brush Optometrist 1801 E 5th Street, Metropolis, IL 62960 2006-12-12
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689171464 Rodney Eugene Mayberry Counselor 306 W 8th St Apt D, Metropolis, IL 62960-1656 2018-04-09
1518144682 Rebecca Louise Mcquage Counselor 206 West 5th St, Metropolis, IL 62960 2008-01-30
1821150475 Ruth E Johnson Counselor 206 West 5th, Metropolis, IL 62960 2006-12-13
1720140379 James Allen Haley Counselor 206 West 5th Street, Metropolis, IL 62960 2006-12-13
1902419583 Brittney Lynn Woods Counselor 206 W 5th St, Metropolis, IL 62960-1810 2020-08-25
1093327322 Jessica Weaver Counselor 206 W 5th St, Metropolis, IL 62960-1810 2020-08-18
1023636479 Jennea Harris Counselor 206 W 5th St, Metropolis, IL 62960-1810 2020-07-13
1629530498 Cicely Ronielle Shelton Counselor 206 W 5th St, Metropolis, IL 62960-1810 2019-04-02
1336603877 Cynthia Lynn Dunevnt Counselor 206 W 5th St, Metropolis, IL 62960-1810 2019-01-29
1386111565 Stephanie B Looper Counselor 206 W 5th St, Metropolis, IL 62960-1810 2018-10-25
Find all providers in METROPOLIS

Competitor

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City METROPOLIS
Zip Code 62960

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Dataset Information

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.

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