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).
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 |
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 Name | Type Code |
---|---|
Elliott Counseling Group | Doing Business As Name - Organization |
Address | Telephone Number | Fax Number |
---|---|---|
44 E Main St, Suite 406, Champaign, IL 618203636 | 2173989066 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679937460 | Kevin Elliott Counseling, Inc. | Counselor | 309 W Clark St, Champaign, IL 61820-4637 | 2016-04-08 |
Street Address |
309 W CLARK ST |
City | CHAMPAIGN |
State | IL |
Zip Code | 61820 |
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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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 |
Find all providers in zip 61820 |
Taxonomy Code | 163WP0807X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Psych/Mental Health, Child & Adolescent |
Definition to come... |
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 |
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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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.