METHODIST (NPI# 1811512411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811512411 |
| Entity Type | Organization |
| Organization Name | METHODIST |
| Practice Address |
221 Ne Glen Oak Ave Peoria IL 61636-0001 |
| Practice Telephone | 3096725604 |
| Mailing Telephone | 3096725604 |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2020-06-10 |
| Authorized Official Name | MR. CHRISTOPHER LEGAN (PHP THERAPIST) |
| Authorized Official Telephone | 3096725604 |
| Authorized Official Credential | LCPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | LCPC | 180007159 | 01 |
| Other Name | Type Code |
|---|---|
| Unitypoint Health Methodist | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | METHODIST ANESTHESIA, LLC | 600 Grant Street, Gary, IN 46402 |
| System for Award Management (SAM) Entities | METHODIST CHILDREN'S HOME OF KENTUCKY | 1115 Ashgrove Rd, Nicholasville, KY 40356-9202 |
| System for Award Management (SAM) Entities | METHODIST CHILDREN'S HOMES OF MISSISSIPPI | 805 N Flag Chapel Rd, Jackson, MS 39209-2208 |
| System for Award Management (SAM) Entities | METHODIST CHILDRENS HOME SOCIETY | 26645 W 6 Mile Rd, Redford, MI 48240-2319 |
| New York State Corporations | METHODIST CHURCH HOME FOR THE AGED IN THE CITY OF NEW YORK | 4499 Manhattan College Parkway, Bronx, New York 10471-3998 |
| Massachusetts Corporations | METHODIST CHURCH OF CHESHIRE,THE | Unknown, Cheshire, MA 01225 |
| Vermont Business Registrations | METHODIST CHURCH OF GREENSBORO BEND, VT. INC. | Po Box 67, Greensboro Bnd, VT 05842 |
| Vermont Business Registrations | METHODIST CHURCH OF HOLLAND, VERMONT, INC. | Valley Road, Derby, VT 05829 |
| Vermont Business Registrations | METHODIST CHURCH OF NEWPORT CENTER, VERMONT | Vance Hill Road, Newport Ctr., VT 05857 |
| Vermont Business Registrations | METHODIST CHURCH OF NORTHFIELD, VERMONT, INC. | 152 So Main Street, Northfield, VT 05663 |
| Street Address |
221 NE GLEN OAK AVE |
| City | PEORIA |
| State | IL |
| Zip Code | 61636-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851384135 | John Alan Howerton | Pharmacist | 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 | 2005-08-23 |
| 1437750130 | Vanezza Buendia | Physical Therapist | 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 | 2020-11-08 |
| 1306443056 | Austyn Powers | Nurse Practitioner | 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 | 2020-10-06 |
| 1396357091 | Christopher Legan | Counselor | 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 | 2020-08-24 |
| 1417575853 | Joseph Babione | Psychologist | 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 | 2020-07-13 |
| 1760003230 | Alexandra Bryan | Dietitian, Registered | 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 | 2020-05-06 |
| 1467080523 | Dustin Dariusz Pilat | Student in an Organized Health Care Education/Training Program | 221 Ne Glen Oak Ave, Peoria, IL 61636-5027 | 2020-04-01 |
| 1295363505 | Abigail Brea Sebald | Student in an Organized Health Care Education/Training Program | 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 | 2020-03-31 |
| 1790313054 | Elizabeth Alexandra Edwards | Student in an Organized Health Care Education/Training Program | 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 | 2020-03-31 |
| 1285260414 | Daniel Logan Howell | Nurse Practitioner | 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 | 2020-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962767376 | Aman Deep Singh | Psychiatry & Neurology | 221 Ne Glen Oak Ave. 7 West, Dept. of Psych. and Behavior Health., Peoria, IL 61636 | 2012-07-11 |
| 1932490075 | Christine Ann Wigginton | Radiology | 221 Ne Glen Oak Ave Dept Of, Peoria, IL 61636 | 2011-04-24 |
| 1568901544 | Stephanie Ann Sullivan | Nurse Anesthetist, Certified Registered | Unity Point Health Methodist, 221 Ne Glen Oak Avenue, Peoria, IL 61636-0001 | 2017-02-23 |
| 1073066155 | Caroline Vanaman | Counselor | 221 Ne Glen Oak Ave # 7w, Peoria, IL 61636-0001 | 2016-07-26 |
| 1497141758 | Amber Hemminger | Registered Nurse | 200 Ne Glen Oak Ave, Peoria, IL 61636-0001 | 2015-04-13 |
| 1326288812 | Bradley Reatherford | Registered Nurse | 221 Northeast Ave, Peoria, IL 61636-0001 | 2009-02-24 |
| 1386784155 | Eric Hawkins | Anesthesiology | 22i Ne Glen Oak Ave, Methodist Medical Center Anesthesiology, Peoria, IL 61636-0001 | 2007-02-08 |
| 1386659241 | Central Illinois Radiological Associates, Ltd. | Radiology | Osf St Francis Medical Ctr, 530 N.e. Glen Oak, Peoria, IL 61636-0001 | 2006-07-29 |
| 1659345007 | Mary C Bruell | Social Worker | Dept of Psychiatry, 221 Ne Glen Oak 7 West, Peoria, IL 61636-0001 | 2006-02-14 |
| 1245203280 | University of Illinois | Psychiatry & Neurology | Department of Psychiatry, 221 Ne Glen Oak 7 West, Peoria, IL 61636-0001 | 2006-02-09 |
| Find all providers in zip 61636 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487254629 | Bernadette Bruha | Counselor | 10028 W Redbird Rd, Peoria, AZ 85383-3368 | 2020-10-27 |
| 1063020071 | Pschertz Counseling | Counselor | 5016 N University St Ste 101, Peoria, IL 61614-4763 | 2020-07-15 |
| 1427674902 | Centerpoint Counseling Associates LLC | Counselor | 7820 N University St Ste 102b, Peoria, IL 61614-1220 | 2020-06-22 |
| 1962032938 | Sheri Orr | Counselor | 8401 W Desert Elm Ln, Peoria, AZ 85383-3645 | 2020-01-18 |
| 1952958050 | Emily Louise Trulson | Counselor | 3526 N California Ave, Peoria, IL 61603-1168 | 2019-08-22 |
| 1518441997 | Jill Johnson | Counselor | 29267 N 123rd Dr, Peoria, AZ 85383-4074 | 2018-09-20 |
| 1407359367 | Lori Bushell Counseling LLC | Counselor | 2000 W Pioneer Pkwy Ste 20, Peoria, IL 61615-5805 | 2018-03-16 |
| 1114427952 | Jessica Anne Hunter | Counselor | 10184 W Happy Valley Rd Ste 190, Peoria, AZ 85383-1254 | 2018-02-19 |
| 1881101806 | Michelle Elizabeth Juslin | Counselor | 8530 W Caribbean Ln, Peoria, AZ 85381-3531 | 2017-12-29 |
| 1235672973 | Amy N Kelch | Counselor | 4228 N University St, Peoria, IL 61614-6913 | 2016-11-29 |
| 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.