KEVIN ELLIOTT COUNSELING, INC.


Address: 309 W Clark St, Champaign, IL 61820
Phone: 2173989066

KEVIN ELLIOTT COUNSELING, INC. (NPI# 1871877621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871877621
Entity Type Organization
Organization Name KEVIN ELLIOTT COUNSELING, INC.
Other Organization Name ELLIOTT COUNSELING GROUP
Practice Address 309 W Clark St
Champaign
IL 61820
Mailing Address 44 E Main St
Suite 406
Champaign
IL 61820-3636
Practice Telephone 2173989066
Practice Fax Number 2173989077
Mailing Telephone 2173989066
Enumeration Date 2011-09-28
Last Update Date 2019-11-04
Authorized Official Name MELANIE I HOOGSTRAAT (CREDENTIALING SPECIALIST)
Authorized Official Telephone 2175521211
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1041C0700X Social Worker
Specialization: Clinical
149014837 IL Behavioral Health & Social Service Providers
Y 163WP0807X Registered Nurse
Specialization: Psych/Mental Health, Child & Adolescent
Nursing Service Providers

Other Provider/Organization Names

Other Name Type Code
Elliott Counseling Group Doing Business As Name - Organization

Provider Secondary Practice Location

Address Telephone Number Fax Number
44 E Main St, Suite 406, Champaign, IL 618203636 2173989066

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1679937460 Kevin Elliott Counseling, Inc. Counselor 309 W Clark St, Champaign, IL 61820-4637 2016-04-08

Office Location

Street Address 309 W CLARK ST
City CHAMPAIGN
State IL
Zip Code 61820

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639789324 Jessica E Runde Counselor 309 W Clark St, Champaign, IL 61820-4637 2020-08-06
1255940599 Brandon Keith Miller Social Worker 309 W Clark St, Champaign, IL 61820-4637 2020-07-22
1174143341 Maggie Ruth Scott Counselor 309 W Clark St, Champaign, IL 61820-4637 2020-04-17
1285267799 Lawanda Reshawna Mcgee Social Worker 309 W Clark St, Champaign, IL 61820-4637 2020-02-13
1801430988 Wade Stark Counselor 309 W Clark St, Champaign, IL 61820-4637 2019-11-01
1003459306 Phyllis Ann Webster Social Worker 309 W Clark St, Champaign, IL 61820-4637 2019-10-20
1245872803 Analise Atchison Social Worker 309 W Clark St, Champaign, IL 61820-4637 2019-10-15
1336798834 Emma Lorimor Social Worker 309 W Clark St, Champaign, IL 61820-4637 2019-09-06
1417506916 Rachel Bunyard Counselor 309 W Clark St, Champaign, IL 61820-4637 2019-09-06
1639636749 Vicky Welge Counselor 309 W Clark St, Champaign, IL 61820-4637 2019-02-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982217345 Costco Wholesale Corporation Pharmacy 2002 N. Neil St., Champaign, IL 61820 2020-08-26
1255963583 Jamey Richard Bailey Social Worker 701 Devonshire Drive, Bldg C, Suite 206, C-6, Champaign, IL 61820 2020-02-05
1790247443 Jason Abrams Counselor 201 W Springfield Ave., Suite 1002-1003, Champaign, IL 61820 2019-04-02
1184100273 Janine Rafferty Pharmacist 2002 N Neil St, Champaign, IL 61820 2018-07-12
1417475070 Brodbeck Counseling, PC Community/Behavioral Health 301 N. Neil Street Suite 323, Champaign, IL 61820 2017-09-05
1447773726 Quanata M Pelmore Nurse's Aide 508 E. Vine St, Champaign, IL 61820 2017-07-19
1821518127 Molly Mclay Social Worker 309 W Clark St., Champaign, IL 61820 2017-06-27
1396265849 Lou Echols Chambers Audiologist 901 South Sixth Street, Chamapign, IL 61820 2017-06-26
1962874495 Luciana Angelica Guardini Social Worker 100 North Chestnut Street, Suite 244, Champaign, IL 61820 2015-10-23
1538544465 Cpo Services, Inc. Prosthetic/Orthotic Supplier 410 E University Ave Ste 105, Champaign, IL 61820 2015-07-21
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Taxonomy Information

Taxonomy Code 163WP0807X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Psych/Mental Health, Child & Adolescent

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982230124 Bradley Thompson Registered Nurse 1802 S Mattis Ave, Champaign, IL 61821-5923 2020-03-19
1972979409 Sarah Schulze Registered Nurse 309 W Clark St, Champaign, IL 61820-4637 2015-08-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1679932057 Jennifer Howard Registered Nurse 1515 W 9th St, Dixon, IL 61021-3312 2016-02-15
1790143733 Mitzi Walker Registered Nurse 676 Brookwood Dr, Olympia Fields, IL 60461-1510 2016-02-05
1841437787 Cynthia Louise Petty Registered Nurse Uic, Ijr, 1747 West Roosevelt Road, M/c 747, Cu 113, Chicago, IL 60608 2009-01-14
1184839201 Susan Gail Painter Registered Nurse 1056 N Hermitage Ave, #1f, Chicago, IL 60622-3259 2007-05-11
1417926601 Merle Evelyn Pray Registered Nurse 820 S0 Damen Ave, 4292, Chicago, IL 60612 2006-03-17
1376156471 Cross Counseling and Coaching, Inc. Registered Nurse 7 Bronze Pointe S Ste B2, Swansea, IL 62226-8308 2020-08-28
1841706371 Jesse Dewayne Herron Registered Nurse 912 S Wood St # Mc913, Chicago, IL 60612-4300 2017-12-20
1225544901 Gloria Ann Ennenbach Registered Nurse 701 W Lamm Rd, Freeport, IL 61032-9630 2017-12-18
1801256813 Lisa L Henderson Registered Nurse 2239 E Cook St, Springfield, IL 62703-1944 2016-03-03
1699049817 Lynn Robin Kovel Registered Nurse 3010 Grand Ave Fl 1, Waukegan, IL 60085-2321 2012-03-06
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Competitor

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City CHAMPAIGN
Zip Code 61820

Improve Information

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Dataset Information

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.

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