MS. JANE KIDWELL (NPI# 1033218086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033218086 |
| Entity Type | Individual |
| Full Name | MS. JANE KIDWELL |
| Credential | LCPC |
| Practice Address |
35 Albany Rd Suite E Carbondale IL 62903-7605 |
| Mailing Address |
Po Box 587 Centralia IL 62801-9110 |
| Practice Telephone | 6182412128 |
| Practice Fax Number | 6182413848 |
| Mailing Telephone | 6182412128 |
| Mailing Fax Number | 6182413848 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
IL | Behavioral Health & Social Service Providers |
| Street Address |
35 ALBANY RD SUITE E |
| City | CARBONDALE |
| State | IL |
| Zip Code | 62903-7605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255333118 | Jai P. Singh | Anesthesiology | 35 Albany Rd, Suite C, Carbondale, IL 62903-7605 | 2005-08-11 |
| 1386001097 | Joseph John Zueck | Nurse Anesthetist, Certified Registered | 35 Albany Rd, Suite C, Carbondale, IL 62903-7646 | 2016-01-26 |
| 1740656438 | Jennifer Clevenger | Registered Nurse | 35 Albany Rd, Suite C, Carbondale, IL 62903-7646 | 2015-08-17 |
| 1265860662 | Eric Thueson | Nurse Anesthetist, Certified Registered | 35 Albany Rd, Carbondale, IL 62903-7646 | 2013-10-22 |
| 1851630040 | Lisa Diane Blacketter | Nurse Anesthetist, Certified Registered | 35 Albany Rd, Ste C, Carbondale, IL 62903-7646 | 2013-02-07 |
| 1134414618 | Ryan Stock | Anesthesiology | 35 Albany Rd, Suite C, Carbondale, IL 62903-7646 | 2011-06-13 |
| 1467758375 | Staci L Amero | Nurse Anesthetist, Certified Registered | 35 Albany Rd, Suite C, Carbondale, IL 62903-7646 | 2011-02-10 |
| 1407187784 | Dana L Rix-crouse | Registered Nurse | 35 Albany Rd, Ste C, Carbondale, IL 62903-7646 | 2010-01-26 |
| 1952489403 | Medhat Saad Ayad | Anesthesiology | 35 Albany Rd, Suite C, Carbondale, IL 62903-7646 | 2006-11-01 |
| 1528015658 | Dawn James | Nurse Anesthetist, Certified Registered | 35 Albany Rd, Suite C, Carbondale, IL 62903-7646 | 2006-05-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447625918 | Integrative Spine Care, LLC | Pain Medicine | 364 Lake Indian Hills Circle, Carbondale, IL 62903 | 2015-12-09 |
| 1811949910 | Devon G Barnes | Nurse Anesthetist, Certified Registered | 35 Albany Road, Suite C, Carbondale, IL 62903 | 2006-05-17 |
| 1316282130 | Centerstone of Illinois, Inc | Community/Behavioral Health | 2311 S Illinois Ave, Carbondale, IL 62903-5912 | 2012-12-05 |
| 1861009128 | Ashley Pruett | Counselor | 2311 S Illinois Ave, Carbondale, IL 62903-5912 | 2020-09-30 |
| 1477167823 | Zachary Woosley | Counselor | 2311 S Illinois Ave, Carbondale, IL 62903-5912 | 2020-09-03 |
| 1215553110 | Margaret K Henry | Counselor | 2311 S Illinois Ave, Carbondale, IL 62903-5912 | 2020-06-17 |
| 1053934489 | Matthew Picchietti | Counselor | 2311 S Illinois Ave, Carbondale, IL 62903-5912 | 2020-05-20 |
| 1487287835 | Lyndsey Wideman | Counselor | 2311 S Illinois Ave, Carbondale, IL 62903-5912 | 2020-02-13 |
| 1124659024 | Matthew Leigh | Counselor | 2311 S Illinois Ave, Carbondale, IL 62903-5912 | 2020-01-29 |
| 1447890199 | Nicholas Foy | Counselor | 2311 S Illinois Ave, Carbondale, IL 62903-5912 | 2020-01-10 |
| Find all providers in zip 62903 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245847359 | Shariece Inez Hastings | Counselor | 904 E Cindy St, Carbondale, IL 62901-3318 | 2020-09-23 |
| 1780156547 | Kw Therapy, LLC | Counselor | 112 Blue Creek Overlook, Carbondale, CO 81623-7705 | 2018-12-18 |
| 1043696982 | Dominique Davis-warner | Counselor | 1337b Springer Ridge Rd, Carbondale, IL 62902-7902 | 2015-08-03 |
| 1407275589 | Eileen Gielow | Counselor | 9 Raccoon Ct, Carbondale, CO 81623-8756 | 2014-04-15 |
| 1932527728 | Marsha Perfetti | Counselor | 241 S Lewis Ln, Carbondale, IL 62901-3443 | 2014-03-31 |
| 1255670303 | Beth A Morrison | Counselor | 118 Glopen Rd, Carbondale, IL 62901-5860 | 2013-02-10 |
| 1861745911 | Turkessa Crystal Jackson | Counselor | 1144 E Rendleman St, Carbondale, IL 62901-3428 | 2012-10-25 |
| 1669783601 | Cindy P Johnson | Counselor | 35 Albany Rd Ste E, Carbondale, IL 62903-7647 | 2010-06-24 |
| 1164661716 | Peter N. Haller | Counselor | 604 E College St Ste 101, Carbondale, IL 62901-3309 | 2009-02-05 |
| 1366584906 | F Dale Budslick | Counselor | 607 W Main, #100, Carbondale, IL 62901 | 2007-02-12 |
| Find all providers in CARBONDALE | ||||
| City | CARBONDALE |
| Zip Code | 62903 |
Please comment or provide details below to improve the information on MS. JANE KIDWELL.
| 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.