MRS. DEBORAH J. MCKENNA (NPI# 1700849619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700849619 |
| Entity Type | Individual |
| Full Name | MRS. DEBORAH J. MCKENNA |
| Credential | LCPC |
| Practice Address |
7150 N University St Peoria IL 61614-1752 |
| Practice Telephone | 3096912089 |
| Practice Fax Number | 3096912089 |
| Mailing Telephone | 3096912089 |
| Mailing Fax Number | 3096912089 |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2011-05-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
180-000343 | IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | EMPLOYEE IDENTIFICATION | 030383637 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639665789 | Deborah Mckenna | Nurse Practitioner | 475 Kilvert St, Warwick, RI 02886-1379 | 2018-07-02 |
| Street Address |
7150 N UNIVERSITY ST |
| City | PEORIA |
| State | IL |
| Zip Code | 61614-1752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427546688 | Toufic S. Khairallah | Nurse Practitioner | 7150 N University St, Peoria, IL 61614-1752 | 2018-04-24 |
| 1982726733 | Linda Marie Cherry | Counselor | 7150 N University St, Suite E, Peoria, IL 61614-1752 | 2007-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548818511 | Christine Svoboda | Social Worker | 6919 N Knoxville Ave Ste 100 and 202, Peoria, IL 61614 | 2019-09-03 |
| 1639649007 | Kathy Karouzos Counseling, LLC | Clinic/Center | 330 W. Ivy Ln., Peoria, IL 61614 | 2018-11-28 |
| 1205312790 | Kathleen Marie Hendricks | Nurse Practitioner | 2809 W Willow Knolls Dr, Peoria, IL 61614 | 2018-07-17 |
| 1629563937 | Mary Elizabeth Cunningham | Counselor | 6219 N. Eldorado Dr., Peoria, IL 61614 | 2018-06-28 |
| 1861937955 | Angela Gilles | Social Worker | 6919 N Knoxville Ave Ste 100, Peoria, IL 61614 | 2016-12-27 |
| 1467994897 | Melissa Saxsma | Specialist | 5009 N Executive Dr, Peoria, IL 61614 | 2016-11-16 |
| 1902258874 | Rashid Plastic Surgery, LLC | Plastic Surgery | 804 W Trailcreek Drive, Peoria, IL 61614 | 2016-07-05 |
| 1215313143 | Melissa Lynn Phelan | Nurse Practitioner | 122 E Morningside Dr, Peoria, IL 61614 | 2015-08-03 |
| 1811380165 | All Ways Caring Services, Inc. | In Home Supportive Care | 6919 N Knoxville Ave, Suite 102, Peoria, IL 61614 | 2015-03-11 |
| 1568875920 | Schuler & Arkwell Orthodontic Partnership | Dentist | 2425 Cornerstone Ct. Ste. A, Peoria, IL 61614 | 2014-06-03 |
| Find all providers in zip 61614 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942815303 | Lauren Hope Auer | Counselor | 10511 Churchill Dr, Peoria, IL 61615-1179 | 2020-09-12 |
| 1467070854 | Nicole Richardson | Counselor | 12121 W Remuda Dr, Peoria, AZ 85383-5864 | 2020-07-11 |
| 1265061972 | John Westerberg | Counselor | 3516 W Harmon Hwy, Peoria, IL 61604-5925 | 2020-04-04 |
| 1427681097 | Renae Miller Counseling, Pllc | Counselor | 7501 N University St Ste 131, Peoria, IL 61614-1298 | 2020-02-21 |
| 1265993562 | Michele Meigh | Counselor | 11361 N 99th Ave Ste 107, Peoria, AZ 85345-5469 | 2019-03-28 |
| 1821563081 | Arizona Consulting and Counseling Services | Counselor | 8263 W Thunderbird Rd Ste 100, Peoria, AZ 85381-4615 | 2018-10-03 |
| 1710460332 | Amy Kathleen Biegler | Counselor | 8500 N Knoxville Ave Ste A&b, Peoria, IL 61615-2079 | 2018-09-10 |
| 1447732045 | Kristin Mckenzie | Counselor | 8037 W Spur Dr, Peoria, AZ 85383-6221 | 2018-08-30 |
| 1629563937 | Mary Elizabeth Cunningham | Counselor | 6219 N. Eldorado Dr., Peoria, IL 61614 | 2018-06-28 |
| 1790223022 | Janet Warner | Counselor | 8914 North Prarie Court, Peoria, IL 61615 | 2017-02-07 |
| Find all providers in PEORIA | ||||
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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.