MCKENZIE KAY CLANTON (NPI# 1801416136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801416136 |
| Entity Type | Individual |
| Full Name | MCKENZIE KAY CLANTON |
| Practice Address |
5230 6th Street Frontage Rd E Springfield IL 62703-5128 |
| Practice Telephone | 2175851180 |
| Mailing Telephone | 2175851180 |
| Enumeration Date | 2020-04-16 |
| Last Update Date | 2020-04-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
5230 6TH STREET FRONTAGE RD E |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62703-5128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104234046 | Hitekshya Nepal | Psychiatry & Neurology | 5230 6th Street Frontage Rd E, Springfield, IL 62703-5128 | 2014-07-23 |
| 1245850163 | Julieann Emerson Robinson | Counselor | 5230 6th Street Frontage Rd E, Springfield, IL 62703-5128 | 2020-04-21 |
| 1154941086 | Adam C Whitford | Counselor | 5230 6th Street Frontage Rd E, Springfield, IL 62703-5128 | 2020-04-21 |
| 1881214138 | Amanda Lynn Johnson | Counselor | 5230 6th Street Frontage Rd E, Springfield, IL 62703-5128 | 2020-04-16 |
| 1497375752 | Monique Coombs | Counselor | 5230 6th Street Frontage Rd E, Springfield, IL 62703-5128 | 2020-04-16 |
| 1700406048 | Christina Nicole Benoit | Counselor | 5230 6th Street Frontage Rd E, Springfield, IL 62703-5128 | 2020-04-16 |
| 1912527292 | Natalie Goodwin | Counselor | 5230 6th Street Frontage Rd E, Springfield, IL 62703-5128 | 2020-04-16 |
| 1689212409 | Geneva Austar Sanders | Family Medicine | 5230 6th Street Frontage Rd E, Springfield, IL 62703-5128 | 2019-12-11 |
| 1033775515 | Robin Mitchell | Marriage & Family Therapist | 5230 6th Street Frontage Rd E, Springfield, IL 62703-5128 | 2019-05-10 |
| 1356807846 | Amanda Rhae Davis | Counselor | 5230 6th Street Frontage Rd E, Springfield, IL 62703-5128 | 2019-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790260917 | Jessica Lynne Zeeck | Behavior Technician | 5220 6th Street Frontage Road, E Suite 1700, Springfield, IL 62703 | 2018-10-03 |
| 1215415799 | Bree Schmulbach | Nurse Practitioner | Bsb Room 20, Springfield, IL 62703 | 2018-08-06 |
| 1144712100 | Fresenius Medical Care Springfield East, LLC | Clinic/Center | 140 S. Martin Luther King Jr. Drive, Springfield, IL 62703 | 2018-06-05 |
| 1558889170 | Ji Woung Choi | Dentist | 687 E Linton Ave., Springfield, IL 62703 | 2017-09-04 |
| 1477006161 | Encompass Home Health of The Midwest,llc | Home Health | 2970 Baker Dr, Springfield, IL 62703 | 2016-07-28 |
| 1851706824 | Terah Louise Holland | Obstetrics & Gynecology | 1100 E Lincolnshire Blvd Ste 200, Springfield, IL 62703 | 2014-06-27 |
| 1578993101 | Corey Moore | Behavioral Analyst | 5520 South 6th Street Road, Suite 1700, Springfield, IL 62703 | 2013-11-18 |
| 1134463052 | The Center for Youth and Family Solutions Inc. | Voluntary or Charitable | 614 North Sixth Street, Springfield, IL 62703 | 2012-11-15 |
| 1447519111 | Tenshi Furumi | Specialist/Technologist | One University Plaza, Univ. of Illinois-springfield, Ms Rec 2004, Springfield, IL 62703 | 2012-05-15 |
| 1447558390 | Shalini Mulkanoor | Family Medicine | 1100 E. Lincolnshire Blvd., Suite 200, Springfield, IL 62703 | 2011-03-02 |
| Find all providers in zip 62703 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427672815 | Jana Lynn Purington | Counselor | 155 Maple St Ste 107, Springfield, MA 01105-1828 | 2020-06-02 |
| 1861015224 | Laurie N Tackett | Counselor | 255 Glenmore Dr, Springfield, OH 45503-3305 | 2020-05-20 |
| 1457993412 | Ardavis & Associates, LLC | Counselor | 2151 W White Oaks Dr Ste D, Springfield, IL 62704-6410 | 2019-10-11 |
| 1396390241 | Karley Kassandra Murphy | Counselor | 3734 South Ave #c, Springfield, MO 65807 | 2019-08-07 |
| 1861057457 | Janer Hernandez | Counselor | 77 Bevier St, Springfield, MA 01107-1316 | 2019-05-08 |
| 1013470608 | Aracelis Ruiz | Counselor | 1108 Carew St, Springfield, MA 01104-2026 | 2019-04-10 |
| 1619432481 | Beth Reilly | Counselor | 57 Duryea St, Springfield, MA 01104-3105 | 2019-02-06 |
| 1023582699 | Barbara Ruth Pascoe | Counselor | 8020 Greeley Blvd, Springfield, VA 22152-3001 | 2019-01-17 |
| 1275000309 | Sara Thompson | Counselor | 2200 E Sunshine St Ste 215, Springfield, MO 65804-1886 | 2018-10-26 |
| 1902305402 | Stan Dwane Buford | Counselor | 3734 South Ave Ste C, Springfield, MO 65807-5291 | 2018-02-09 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62703 |
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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.