JACOB LAYNE DELVALLEY (NPI# 1841527272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841527272 |
| Entity Type | Individual |
| Full Name | JACOB LAYNE DELVALLEY |
| Practice Address |
1112 Lincolnshire Dr Champaign IL 61821-5606 |
| Mailing Address |
Po Box 71 Broadlands IL 61816-0071 |
| Practice Telephone | 2176370516 |
| Mailing Telephone | 2176370516 |
| Enumeration Date | 2009-11-05 |
| Last Update Date | 2009-11-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225C00000X | Rehabilitation Counselor | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1112 LINCOLNSHIRE DR |
| City | CHAMPAIGN |
| State | IL |
| Zip Code | 61821-5606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215131552 | Debra Frye | Counselor | 1112 Lincolnshire Dr, Champaign, IL 61821-5606 | 2007-06-12 |
| 1770109118 | Jennifer Clifton | Social Worker | 1112 Lincolnshire Dr, Champaign, IL 61821-5606 | 2020-06-22 |
| 1083061469 | Rosecrance Inc | Clinic/Center | 1112 Lincolnshire Dr, Champaign, IL 61821 | 2016-05-16 |
| 1831512151 | Chris Woodward | Social Worker | 1112 Lincolnshire Dr, Champaign, IL 61821-5606 | 2014-01-22 |
| 1942551171 | Amanda Brockway | Social Worker | 1112 Lincolnshire Dr, Champaign, IL 61821-5606 | 2012-09-27 |
| 1588925192 | Amber Delila Williams | Social Worker | 1112 Lincolnshire Dr, Champaign, IL 61821-5606 | 2012-05-31 |
| 1508013475 | Community Elements, Inc | Clinic/Center | 1112 Lincolnshire Dr, Champaign, IL 61821-5606 | 2008-08-22 |
| 1699934836 | Michael Hawn | Rehabilitation Counselor | 1112 Lincolnshire Dr, Champaign, IL 61821-5606 | 2008-06-03 |
| 1952587016 | Ileana Costescu | Rehabilitation Counselor | 1112 Lincolnshire Dr, Champaign, IL 61821-5606 | 2008-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326532888 | Cunningham Children's Home of Urbana Il | Residential Treatment Facility, Emotionally Disturbed Children | 1303 N. Cunningham Avenue, Urbana, IL 61821 | 2018-06-19 |
| 1184008708 | Seunghyun Jae | Dentist | 1905 W Springfield Ave, Champaign, IL 61821 | 2015-07-14 |
| 1457698169 | Mohamad Ata | Registered Nurse | 1802 S. Mattis, Champaign, IL 61821 | 2013-01-15 |
| 1609124338 | Lolitia Rosanna Newman | Social Worker | 1508 Powers Ln., Champaign, IL 61821 | 2012-08-28 |
| 1679850887 | Kirk Donald Gohsman | Counselor | 106 S. Country Fair Drive, Suite C, Champaign, IL 61821 | 2011-11-16 |
| 1598054777 | Delbert William Nelson Jr. | Psychiatry & Neurology | 2115 Galen Dr, Champaign, IL 61821 | 2011-03-28 |
| 1790946929 | Rdi Vein LLC | Clinic/Center | 2502 Galen Drive, Suite 101, Champaign, IL 61821 | 2008-06-20 |
| 1366620064 | Advanced Aesthetics Surgery & Laser Center, P.C. | Clinic/Center | 2111 West Park Ct., Champaign, IL 61821 | 2008-02-05 |
| 1033398482 | Huey's Home Medical, Inc | Durable Medical Equipment & Medical Supplies | 1207 S Mattis Ave Ste 1, Champaign, IL 61821 | 2007-11-01 |
| 1265630537 | Elizabeth Catherine Tingley | Psychologist | Department of Psychiatry and Psychology-carle Physician, 1802 S. Mattis, Champaign, IL 61821 | 2007-07-06 |
| Find all providers in zip 61821 | ||||
| Taxonomy Code | 225C00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Counselor |
| An individual trained and educated in a systematic process of assisting persons with physical, mental, developmental, cognitive, and emotional disabilities to achieve their personal, career, and independent living goals assessment and appraisal, diagnosis and treatment planning, career (vocational) counseling, individual and group counseling interventions for adjustments to the medical and psychosocial impact of disability, case management, program evaluation and research, job analysis and placement counseling, and consultation on rehabilitation resources and technology. Certification generally requires a Master’s degree with specialized courses in rehabilitation processes and technology. |
| Notes: Sources: Commission on Rehabilitation Counselor Certification and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053809293 | Richard Albert Price | Rehabilitation Counselor | 1924 Melrose Dr Apt C, Champaign, IL 61820-2048 | 2018-04-24 |
| 1558643718 | Gail L Russell | Rehabilitation Counselor | 1003 S Westlawn Ave, Champaign, IL 61821-4412 | 2011-09-14 |
| 1407153182 | Jessica L Foley | Rehabilitation Counselor | 804 W Vine St, Champaign, IL 61820-2825 | 2011-02-16 |
| 1679878037 | Benjamin Joseph Unander | Rehabilitation Counselor | 1401 Glenshire Dr, Champaign, IL 61822-7701 | 2011-01-17 |
| 1073816203 | Jazmin Pazmino | Rehabilitation Counselor | 1801 Valley Rd, A, Champaign, IL 61820-7143 | 2010-12-09 |
| 1831409432 | Candis Kim | Rehabilitation Counselor | 3310 Sharp Dr., Champaign, IL 61822 | 2010-10-15 |
| 1205145315 | Whitney Akhtar | Rehabilitation Counselor | 408 Ginger Bend Dr, Apt 306, Champaign, IL 61822-3570 | 2010-10-07 |
| 1760798946 | Rachel M Reardon | Rehabilitation Counselor | 413 W Stanage Ave, Champaign, IL 61820-6441 | 2010-08-25 |
| 1972826550 | John Adam Murray | Rehabilitation Counselor | 305 W University Ave, 5, Champaign, IL 61820-3961 | 2010-03-10 |
| 1235467986 | Leeann Lietz | Rehabilitation Counselor | 726 Dover Pl, Champaign, IL 61820-7032 | 2009-11-18 |
| Find all providers in CHAMPAIGN | ||||
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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.