KELLY MARIE POWELL (NPI# 1053953968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053953968 |
| Entity Type | Individual |
| Full Name | KELLY MARIE POWELL |
| Credential | LCPC |
| Practice Address |
27w350 High Lake Rd Winfield IL 60190-1262 |
| Mailing Address |
0n126 Beverly St Wheaton IL 60187-2547 |
| Practice Telephone | 6309333033 |
| Mailing Telephone | 6308906764 |
| Enumeration Date | 2019-10-11 |
| Last Update Date | 2019-10-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
180.012534 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821442666 | Kelly Powell | Student in an Organized Health Care Education/Training Program | 416 Washington Ave Sw Apt 4, Roanoke, VA 24016-4247 | 2016-04-18 |
| 1184965527 | Kelly M Powell | Audiologist | 3616 Far West Blvd Ste 117-401, Austin, TX 78731 | 2013-03-11 |
| 1356584114 | Kelly Free Powell | Physical Therapist | Cmr 411, Building 700, Rose Barracks, Apo, AE 09112 | 2009-04-09 |
| 1538365317 | Kelly Jo Powell | Occupational Therapy Assistant | 1619 Galleria Club Ln, Apt 203, Charlotte, NC 28270-2529 | 2007-06-27 |
| 1417510751 | Kelly Powell | Physician Assistant | 12901 Bruce B Downs Blvd, Mdc5, Tampa, FL 33612 | 2019-04-22 |
| 1659841567 | Kelly Powell | Licensed Practical Nurse | 27777 Inkster Rd, Farmington Hills, MI 48334-5326 | 2018-12-04 |
| 1982085023 | Kelly Powell | Social Worker | 2114 N Franklin Dr, Washington, PA 15301-5891 | 2015-06-15 |
| 1073952842 | Kelly Marie Powell | Social Worker | 3901 Chrysler Dr, Detroit, MI 48201 | 2013-06-14 |
| 1275807851 | Kelly Kristin Powell | Psychologist | 230 S Frontage Rd, New Haven, CT 06519-1124 | 2012-02-29 |
| 1720223605 | Kelly E Powell | Nurse Practitioner | 14100 Fivay Rd, Suite 280, Hudson, FL 34667-7180 | 2008-12-08 |
| Street Address |
27W350 HIGH LAKE RD |
| City | WINFIELD |
| State | IL |
| Zip Code | 60190-1262 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861584625 | Bettine Brusca | Social Worker | 27w350 High Lake Rd, Winfield, IL 60190-1262 | 2006-09-29 |
| 1144740085 | John Rodney Skocz | Counselor | 27w350 High Lake Rd, Winfield, IL 60190-1262 | 2017-06-21 |
| 1396283495 | Kelli L Harkey | Nurse Practitioner | 27w350 High Lake Rd, Winfield, IL 60190-1262 | 2017-02-08 |
| 1760862759 | Linda Ramage | Counselor | 27w350 High Lake Rd, 207, Winfield, IL 60190-1262 | 2015-06-04 |
| 1528487287 | Mary Beth Mullenholz | Counselor | 27w350 High Lake Rd, Winfield, IL 60190-1262 | 2014-04-09 |
| 1215143250 | Pauline K. Wiener, M.d., S.c. | Psychiatry & Neurology | 27w350 High Lake Rd, Winfield, IL 60190-1262 | 2007-05-15 |
| 1376683375 | Behavioral Medicine and Consulting PC | Psychiatry & Neurology | 27w350 High Lake Rd, Winfield, IL 60190-1262 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316592256 | Kelly Marie Jung | Nurse Practitioner | 25 N Winfield Rd Ste 500, Winfield, IL 60190 | 2019-08-07 |
| 1003379660 | Genevieve Goro | Speech-Language Pathologist | In220 Pleasant Hill Rd, Winfield, IL 60190 | 2019-04-10 |
| 1730670175 | Brian J Fischer | Physical Therapist | 26w228 Geneva Road, Winfield, IL 60190 | 2018-05-22 |
| 1730625500 | Johnson Medical Services S.c. | Family Medicine | 27 W 132 Barnes Ave/, Winfield, IL 60190 | 2017-01-17 |
| 1992253843 | Dr. Roy Settergren S.c. | Chiropractor | 27w123 Redbud Lane, Winfield, IL 60190 | 2016-09-20 |
| 1952855223 | Terri Hannemann | Nurse Practitioner | 25 North Winfield Road, Central Dupage Hospital, Winfield, IL 60190 | 2016-08-04 |
| 1154730737 | Cynthia Koeppen | Registered Nurse | 27w281 Winfield Rd, Winfield, IL 60190 | 2014-08-07 |
| 1992117634 | Jonathan Wang | Internal Medicine | 25 N Winfield Rd Ste 202, Winfield, IL 60190 | 2014-05-29 |
| 1689005977 | Erin Sands | Physician Assistant | 25 N Winfield Rd Ste 519, Winfield, IL 60190 | 2013-12-11 |
| 1790120285 | Clarity Health & Wellness | Social Worker | 1 N. 121 County Farm Road, Suite 220, Winfield, IL 60190 | 2013-05-09 |
| Find all providers in zip 60190 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083113567 | Teresa Holloway | Counselor | 1809 Main St, Winfield, KS 67156-4935 | 2018-02-09 |
| 1477938165 | Melisa Lee Schmitt | Counselor | 19892 21st Rd, Winfield, KS 67156-6974 | 2015-07-23 |
| 1043525934 | Ray Allen Mckinnis | Counselor | 1n217 Mission Ct, Winfield, IL 60190-2070 | 2010-08-16 |
| 1205091931 | Tracy L Muklewicz | Counselor | 27w140 Roosevelt Road, Suite 205, Winfield, IL 60190-1641 | 2008-07-22 |
| 1063933976 | Misty Humphrey | Counselor | 22214 D St, Winfield, KS 67156-7376 | 2017-06-30 |
| 1760862759 | Linda Ramage | Counselor | 27w350 High Lake Rd, 207, Winfield, IL 60190-1262 | 2015-06-04 |
| 1427453760 | Theresa L Randich | Counselor | 28w671 Garys Mill Rd, Winfield, IL 60190-1564 | 2014-10-29 |
| 1528487287 | Mary Beth Mullenholz | Counselor | 27w350 High Lake Rd, Winfield, IL 60190-1262 | 2014-04-09 |
| 1598073280 | Kristin Joelle Seaman | Counselor | 1n121 County Farm Rd, Ste 200, Winfield, IL 60190-2019 | 2010-09-16 |
| 1134370836 | Lauren Beth Sax | Counselor | 27w291 Geneva Rd, Ste C, Winfield, IL 60190-2041 | 2008-10-01 |
| Find all providers in WINFIELD | ||||
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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.