DAWN MAGNUSON (NPI# 1871117564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871117564 |
Entity Type | Individual |
Full Name | DAWN MAGNUSON |
Practice Address |
631 S 1st St Dekalb IL 60115-4117 |
Practice Telephone | 8157568501 |
Enumeration Date | 2020-05-29 |
Last Update Date | 2020-05-29 |
Gender Code | F |
Is Sole Proprietor | Y |
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 | 474579189001 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205986288 | Dawn Marie Magnuson | Occupational Therapist | 6508 Gunn Highway, Independent Living Inc, Tampa, FL 33625-4022 | 2007-01-11 |
Street Address |
631 S 1ST ST |
City | DEKALB |
State | IL |
Zip Code | 60115-4117 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972788925 | Community Support Program/reality House | Clinic/Center | 631 S 1st St, Dekalb, IL 60115-4117 | 2008-01-08 |
1164023719 | Amanda Marie Reeves | Counselor | 631 S 1st St, Dekalb, IL 60115-4117 | 2020-11-02 |
1184223141 | Kendra Scrutchens | Counselor | 631 S 1st St, Dekalb, IL 60115-4117 | 2020-10-21 |
1073137519 | Emily Nicole Taylor | Counselor | 631 S 1st St, Dekalb, IL 60115-4117 | 2020-06-01 |
1376164822 | Jasmine Alexis Sronkoski | Social Worker | 631 S 1st St, Dekalb, IL 60115-4117 | 2020-05-06 |
1831738616 | Alissa E Taylor | Counselor | 631 S 1st St, Dekalb, IL 60115-4117 | 2019-12-27 |
1912546995 | Melissa Ybarra-robinson | Counselor | 631 S 1st St, Dekalb, IL 60115-4117 | 2019-12-23 |
1144868357 | Bethany Ann Johnson | Counselor | 631 S 1st St, Dekalb, IL 60115-4117 | 2019-12-18 |
1407401086 | Dominique Marie Smith | Counselor | 631 S 1st St, Dekalb, IL 60115-4117 | 2019-08-09 |
1912551052 | Tyler Walt | Counselor | 631 S 1st St, Dekalb, IL 60115-4117 | 2019-07-26 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598372179 | Megan Erhart | Counselor | 304 N. 6th Street, Dekalb, IL 60115 | 2020-09-28 |
1689141616 | Stephanie Klewin | Psychologist | 631 S 1st Street, Dekalb, IL 60115 | 2018-10-29 |
1164902219 | Kimberly Ann Hart | Counselor | 290 N. Annie Glidden Drive, Gh 416, Niu, Dekalb, IL 60115 | 2018-08-17 |
1497235824 | Cory David Michael Hayden | Specialist/Technologist | 175 Yordon Center (niu Athletic Training), Dekalb, IL 60115 | 2018-08-15 |
1154807808 | Michael John Borak | Pharmacist | 975 S Annie Glidden Road, Schnucks Market Inc, Dekalb, IL 60115 | 2018-07-16 |
1184125841 | Candace Schroeffel | Student in an Organized Health Care Education/Training Program | 520 Garden Rd, Dekalb, IL 60115 | 2018-02-27 |
1033627583 | Hannah M Studebaker | Massage Therapist | 3266 Sycamore Road, Dekalb, IL 60115 | 2018-01-18 |
1649700238 | Jennifer Mangino | Behavioral Analyst | 138 Berkshire Dr, Dekalb, IL 60115 | 2017-06-15 |
1003346628 | Victoria Tullock | Counselor | 631 South First St., Dekalb, IL 60115 | 2017-06-15 |
1194263848 | Brianna Kraft | Specialist/Technologist | 900 Crane Dr, Dekalb, IL 60115 | 2017-02-02 |
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Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598372179 | Megan Erhart | Counselor | 304 N. 6th Street, Dekalb, IL 60115 | 2020-09-28 |
1164902219 | Kimberly Ann Hart | Counselor | 290 N. Annie Glidden Drive, Gh 416, Niu, Dekalb, IL 60115 | 2018-08-17 |
1003346628 | Victoria Tullock | Counselor | 631 South First St., Dekalb, IL 60115 | 2017-06-15 |
1689109837 | Monique Shante Shaw | Counselor | 2487 Alpha Ct W, Dekalb, IL 60115-5827 | 2017-04-25 |
1972946028 | Michael William Elgersma | Counselor | 1500 E Lincoln Hwy Ste 1, Dekalb, IL 60115-3990 | 2013-04-09 |
1326391806 | Thomas Mark Kuchynka | Counselor | 1134 Gifford St, Dekalb, IL 60115-4465 | 2012-10-20 |
1538432521 | Mark Daniel Lindsey | Counselor | 1400 W Lincoln Hwy, Dekalb, IL 60115-2831 | 2012-02-22 |
1932336674 | Jessica Rojas | Counselor | 221 W Lincoln Hwy, Dekalb, IL 60115-3688 | 2009-06-21 |
1114126018 | Karyanna Salentine | Counselor | 431 Russell Rd Apt 1, Dekalb, IL 60115-2290 | 2007-07-12 |
1255497491 | Sue E. Ouellette | Counselor | 400 E Hillcrest Dr, Suite 100a, Dekalb, IL 60115-2480 | 2006-12-30 |
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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.