MRS. SUSAN JEAN FERRIS (NPI# 1790143022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790143022 |
| Entity Type | Individual |
| Full Name | MRS. SUSAN JEAN FERRIS |
| Credential | LCPC |
| Practice Address |
1 University Ave Bourbonnais IL 60914-2345 |
| Mailing Address |
170 William Latham Dr Bourbonnais IL 60914-1773 |
| Practice Telephone | 8159395256 |
| Mailing Telephone | 8159197255 |
| Enumeration Date | 2016-02-01 |
| Last Update Date | 2016-02-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
180009411 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720478761 | Susan Ferris | Massage Therapist | 402 Coshocton Ave, Mount Vernon, OH 43050-2634 | 2015-01-29 |
| Street Address |
1 UNIVERSITY AVE |
| City | BOURBONNAIS |
| State | IL |
| Zip Code | 60914-2345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629624754 | Alicia Marie Mikulski | Specialist/Technologist | 1 University Ave, Bourbonnais, IL 60914-2345 | 2019-08-14 |
| 1699337329 | Rose M. Hernandez | Nurse Practitioner | 1 University Ave, Bourbonnais, IL 60914-2345 | 2019-07-02 |
| 1750947370 | Lisa Vander Veer | Psychologist | 1 University Ave, Bourbonnais, IL 60914-1996 | 2019-05-20 |
| 1053808121 | Chelsea Diane Beers | Student in an Organized Health Care Education/Training Program | 1 University Ave, Bourbonnais, IL 60914-2345 | 2018-04-15 |
| 1033583968 | Katherine Mcardle | Specialist/Technologist | 1 University Ave, Bourbonnais, IL 60914-2345 | 2015-11-16 |
| 1811369234 | Zachary Steven Fienhold | Specialist/Technologist | 1 University Ave, Bourbonnais, IL 60914-2345 | 2015-10-25 |
| 1134538853 | Mary Schweigert | Nurse Practitioner | 1 University Ave, Box 6032, Bourbonnais, IL 60914-2345 | 2014-08-06 |
| 1548581093 | Elizabeth Anne Gassin | Counselor | 1 University Ave, Dept of Beh Sci/onu, Bourbonnais, IL 60914-2345 | 2010-06-18 |
| 1801908363 | Jorge Bonilla Sr. | Counselor | 1 University Ave, Bourbonnais, IL 60914-2345 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648023 | Jacob Daniel Ledesma | Physical Therapist | 588 William R Latham Senior Dr Ste 5, Bourbonnais, IL 60914 | 2020-10-30 |
| 1467069823 | Alicia Nicole Kendra | Nurse Practitioner | Upliftedcare, 482 Main St. Nw, Bourbonnais, IL 60914 | 2020-09-29 |
| 1043860877 | Victor Manuel Vazquez Cervantes | Pharmacist | 2080 No, Il-50, Bourbonnais, IL 60914 | 2019-09-13 |
| 1740843267 | Panoptic Physical Therapy LLC | Physical Medicine & Rehabilitation | 1511 N. Convent St Suite 1000, Bourbonnais, IL 60914 | 2019-04-19 |
| 1770074577 | Colin P Koerner | Physical Therapist | 215 N Convent St Ste 6, Bourbonnais, IL 60914 | 2018-05-29 |
| 1306337340 | Megan Hoskins | Behavior Technician | 3187 N 2420 W Rd., Bourbonnais, IL 60914 | 2018-05-25 |
| 1932600459 | Thomas H George Dds PC | Clinic/Center | 14 Briarcliff Professional Center, Bourbonnais, IL 60914 | 2018-02-21 |
| 1780193904 | Kathleen M Saindon II | Speech-Language Pathologist | 1021 Deer Trail, Bourbonnais, IL 60914 | 2017-09-20 |
| 1457870206 | Janet Mary Notton | Speech-Language Pathologist | 920 W Margaret Lane, Bourbonnais, IL 60914 | 2017-09-13 |
| 1134646375 | Sagar Batish | Student in an Organized Health Care Education/Training Program | 1096 Country Lane, Bourbonnais, IL 60914 | 2017-08-28 |
| Find all providers in zip 60914 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205457959 | Angela Jones-greer | Counselor | 405 E Bethel Dr, Bourbonnais, IL 60914-1175 | 2020-05-05 |
| 1477008456 | Jeanine Mellish | Counselor | 201 Park Pl Ste 11, Bourbonnais, IL 60914-1883 | 2016-08-19 |
| 1962835926 | Steffani Hommes | Counselor | 8 Heritage Plaza, Bourbonnais, IL 60914 | 2013-08-14 |
| 1548522816 | Beth Shelton | Counselor | 650 North Convent, Bourbonnais, IL 60914-1332 | 2012-06-13 |
| 1801176318 | Denise Marie Houser | Counselor | 197 West Harrison Street, Bourbonnais, IL 60914 | 2011-08-29 |
| 1346436672 | Teri Boudreau, Ltd. | Counselor | 310 N Convent St, Bourbonnais, IL 60914-2099 | 2007-09-20 |
| 1184830226 | Jessica L Mcvey | Counselor | 115 Mooney Dr, Bourbonnais, IL 60914-2147 | 2007-05-15 |
| 1154480325 | Radonna Marie Hasselbring | Counselor | 197 W Harrison St, Bourbonnais, IL 60914-1958 | 2006-12-06 |
| 1003476136 | Pamela Ford Counseling Limited | Counselor | 750 Almar Pkwy Ste 205, Bourbonnais, IL 60914-2399 | 2019-06-20 |
| 1265998058 | Collective Balance Counseling, LLC | Counselor | 201 Park Pl Ste 11, Bourbonnais, IL 60914-1883 | 2019-02-16 |
| Find all providers in BOURBONNAIS | ||||
| City | BOURBONNAIS |
| Zip Code | 60914 |
Please comment or provide details below to improve the information on MRS. SUSAN JEAN FERRIS.
| 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.