MCKENNA SMITH


Address: 2031 Willow Brooke Dr Apt 2c, Woodstock, IL 60098-5211
Phone: 8152190816

MCKENNA SMITH (NPI# 1922526987) 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) 1922526987
Entity Type Individual
Full Name MCKENNA SMITH
Practice Address 2031 Willow Brooke Dr Apt 2c
Woodstock
IL 60098-5211
Mailing Address 14411 Kishwaukee Valley Rd
Woodstock
IL 60098-9631
Practice Telephone 8152190816
Enumeration Date 2017-08-30
Last Update Date 2019-06-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
14411 Kishwaukee Valley Rd, Woodstock, IL 600989631 8152065909

Office Location

Street Address 2031 WILLOW BROOKE DR APT 2C
City WOODSTOCK
State IL
Zip Code 60098-5211

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1871026724 Bo Yeon Bartilotta Dentist 11585 Us-14, Woodstock, IL 60098 2017-04-07
1619337185 Julia Karibian Community Health Worker 2983 Strauss Court, Woodstock, IL 60098 2016-02-26
1407249170 Julia Bonti Counselor 13318 Hickory Ln, Woodstock, IL 60098 2015-03-05
1427485580 Sara E Smedinghoff Physical Therapy Assistant 708 Washington Street, Woodstock, IL 60098 2013-10-03
1669721783 Robert Eugene Haraden Dentist 651 S. Eastwood Dr, Woodstock, IL 60098 2012-09-05
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1710548730 Tabitha Doyle Counselor 203 Woodpark Pl Bldg B2, Woodstock, GA 30188-3705 2019-06-21
1285107524 Melissa Floyd Hall Counselor 4595 Towne Lake Pkwy Ste 150, Woodstock, GA 30189-5514 2019-01-09
1114465713 Tranquility Counseling Services, LLC Counselor 8744 Main St, Suite 303, Woodstock, GA 30188-4926 2017-02-03
1144772690 Daniel Reid Counselor 202 Swanee Ln, Woodstock, GA 30188-7802 2016-11-01
1417400854 Chelsea Vlcek Counselor 1211 Mitchell St, Woodstock, IL 60098-3641 2016-08-02
1861844128 Chelsea Lynn Hill Counselor 226 Allison Dr, Woodstock, GA 30188-5729 2016-07-11
1588020044 Brenda Mcburnie Counselor 255grimes Road, Woodstock, GA 30188 2016-01-13
1033599279 Leah Tamar Epelbaum Counselor 203 Woodpark Pl Bldg B2nd, Woodstock, GA 30188-3705 2015-06-03
1861881500 Enid Otero Counselor 230 Edinburgh Ln, Woodstock, GA 30188-6903 2015-01-19
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Competitor

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City WOODSTOCK
Zip Code 60098

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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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