MS. MALLORY R HIPPLER (NPI# 1063765303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063765303 |
| Entity Type | Individual |
| Full Name | MS. MALLORY R HIPPLER |
| Credential | COUNSELOR |
| Practice Address |
2200 Fort Jesse Rd Normal IL 61761-6286 |
| Practice Telephone | 3096616290 |
| Practice Fax Number | 3094511354 |
| Mailing Telephone | 3096616290 |
| Mailing Fax Number | 3094511354 |
| Enumeration Date | 2012-10-24 |
| Last Update Date | 2017-05-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
180.009500 | IL | Behavioral Health & Social Service Providers |
| Street Address |
2200 FORT JESSE RD |
| City | NORMAL |
| State | IL |
| Zip Code | 61761-6286 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538168786 | Edward H. Kolb | Orthopaedic Surgery | 2200 Fort Jesse Rd, Suite 250, Normal, IL 61761-6286 | 2005-07-19 |
| 1104333491 | Ft. Jesse Imaging Center LLC | Radiology | 2200 Fort Jesse Rd, Normal, IL 61761-6286 | 2018-01-08 |
| 1245688209 | Lindsay Connor | Nurse Practitioner | 2200 Fort Jesse Rd, Suite 110, Normal, IL 61761-6286 | 2016-06-01 |
| 1366837676 | Emily Forney | Physical Therapist | 2200 Fort Jesse Rd, Suite 240, Normal, IL 61761-6286 | 2015-04-02 |
| 1134529555 | Traci Kissinger | Physical Therapist | 2200 Fort Jesse Rd, Suite 250, Normal, IL 61761-6286 | 2014-09-04 |
| 1811323975 | Rachel E Bauman | Dietitian, Registered | 2200 Fort Jesse Rd, Suite 250, Normal, IL 61761-6286 | 2013-09-20 |
| 1295088391 | Jennifer Alice Berkley | Nurse Practitioner | 2200 Fort Jesse Rd, Normal, IL 61761-6286 | 2012-10-26 |
| 1083962500 | Jessica Johann | Nurse Practitioner | 2200 Fort Jesse Rd, 110, Normal, IL 61761-6286 | 2012-08-15 |
| 1003163379 | Jason N Richards | Occupational Therapist | 2200 Fort Jesse Rd, Normal, IL 61761-6286 | 2012-08-06 |
| 1144597667 | Orthoworks, S.c. | Orthopaedic Surgery | 2200 Fort Jesse Rd, Suite 250, Normal, IL 61761-6286 | 2011-11-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629681796 | Brittany Nicole Mekley | Nurse Practitioner | 201 N. University, Normal, IL 61761 | 2020-08-28 |
| 1679108971 | Krystal Halliday | Occupational Therapist | 1815 N Towanda Barnes Rd, Normal, IL 61761 | 2020-03-06 |
| 1265915474 | Laine E Burek | Nurse Practitioner | 1765 Bradford Ln., Normal, IL 61761 | 2018-09-13 |
| 1801389986 | Ashley Michelle James | Specialist/Technologist | 347 S. University St, Normal, IL 61761 | 2018-06-12 |
| 1447750708 | Shelley R. Ruch | Specialist/Technologist, Other | 1604 Visa Drive, Ste 1, Normal, IL 61761 | 2018-02-13 |
| 1497275069 | Mclean County Nursing Home | Non-emergency Medical Transport (VAN) | 901 N. Main St, Normal, IL 61761 | 2017-06-23 |
| 1235673666 | Megan Threm | Registered Nurse | 900 Franklin Ave Community Health Care Clinic, Normal, IL 61761 | 2016-12-04 |
| 1437513553 | Tiesha Smith | Specialist | 1800 Rockingham Dr, Apt 1d, Normal, IL 61761 | 2016-04-06 |
| 1285031658 | New Day Recovery | Community/Behavioral Health | 402 Summit, Normal, IL 61761 | 2014-12-01 |
| 1174927701 | Alyssa Marie Bruck | Occupational Therapist | 700 N Walnut St, Normal, IL 61761 | 2014-10-10 |
| Find all providers in zip 61761 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306499983 | Kimberly Adams | Counselor | 2000 N Linden St Apt N230, Normal, IL 61761-5384 | 2019-07-22 |
| 1114485158 | Metta Counseling | Counselor | 1100 Beech St Ste 7a, Normal, IL 61761-1499 | 2019-03-08 |
| 1417466517 | Karen Herzel | Counselor | 706 Oglesby Ave Ste 111, Normal, IL 61761-4616 | 2017-09-21 |
| 1245697119 | Lisa M Steve | Counselor | 819 Normal Ave, Normal, IL 61761-1531 | 2016-01-24 |
| 1225439342 | Jay L Cummins | Counselor | 706 Oglesby Ave Ste 112, Normal, IL 61761-4618 | 2014-09-08 |
| 1912296518 | Cynthia Rogers West | Counselor | 1119 Whitaker St, Normal, IL 61761-5756 | 2011-04-04 |
| 1851530018 | Horizons Counseling | Counselor | 1100 Beech St Ste 7, Normal, IL 61761-1456 | 2009-02-11 |
| 1588757413 | Thomas Winn Nylund | Counselor | 1015 Porter Ln, Normal, IL 61761-4215 | 2006-10-02 |
| 1346259140 | Patrick J. Carroll | Counselor | 405 Kays Dr, Normal, IL 61761-1979 | 2006-08-08 |
| 1376159657 | Jeffrey Graham | Counselor | 706 Oglesby Ave Ste 300, Normal, IL 61761-4616 | 2020-09-22 |
| Find all providers in NORMAL | ||||
Please comment or provide details below to improve the information on MS. MALLORY R HIPPLER.
| 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.