KELLY L LENZ (NPI# 1104141688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104141688 |
| Entity Type | Individual |
| Full Name | KELLY L LENZ |
| Other Name | KELLY L PRANKE |
| Credential | A.T.R. |
| Practice Address |
2603 S High Meadow Dr Peoria IL 61607-1415 |
| Practice Telephone | 3092566981 |
| Mailing Telephone | 3092566981 |
| Enumeration Date | 2010-03-29 |
| Last Update Date | 2010-03-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891775045 | Kelly J Lenz | Physical Therapist | 1921 N Charles G Seivers Blvd, Clinton, TN 37716-6747 | 2006-01-21 |
| 1053305177 | Kelly Ann Lenz | Anesthesiology | 3315 Watt Ave, Sacramento, CA 95821-3600 | 2005-09-02 |
| Street Address |
2603 S HIGH MEADOW DR |
| City | PEORIA |
| State | IL |
| Zip Code | 61607-1415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053965517 | Sara Rearden | Speech-Language Pathologist | 4812 W. Pfeiffer Road, Bartonville, IL 61607 | 2019-08-01 |
| 1992141949 | Osf Aviation, LLC | Ambulance | 1400 S Johanson Rd, Peoria, IL 61607-1119 | 2013-05-17 |
| 1073715595 | Monroe School District 70 | Local Education Agency (LEA) | 5157 W Cisna Rd, Bartonville, IL 61607-1434 | 2007-06-05 |
| 1962575589 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 1405 W Garfield Ave, Bartonville, IL 61607-1752 | 2006-11-15 |
| 1639716244 | Thomas Edward Patterson | Pharmacist | 1405 W Garfield Ave, Bartonville, IL 61607-1752 | 2019-12-02 |
| 1144665787 | Michelle Nicole Maloney | Student in an Organized Health Care Education/Training Program | 1518 W Garfield Ave, Bartonville, IL 61607-1755 | 2013-05-09 |
| 1053431551 | Beverly K Beekman | Pharmacy Technician | 1502 W Garfield Ave, Bartonville, IL 61607-1755 | 2007-03-29 |
| 1740362466 | Landall Cormier | Dentist | 1522 W Garfield Ave, Bartonville, IL 61607-1755 | 2006-10-20 |
| 1003818675 | Patricia J Estep | Nurse Practitioner | 1506 W Garfield Ave, Bartonville, IL 61607-1755 | 2005-08-12 |
| 1750822474 | Elizabeth Pautler | Nurse Practitioner | 1506 W Garfield Ave, Bartonville, IL 61607-1755 | 2017-03-14 |
| Find all providers in zip 61607 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346863628 | Az Synergy Counseling, LLC | Counselor | 20835 N 98th Ave, Peoria, AZ 85382-5100 | 2020-05-21 |
| 1689201584 | Denise Zadwarny | Counselor | 8538 W Lawrence Ln, Peoria, AZ 85345-2537 | 2020-03-23 |
| 1073066155 | Caroline Vanaman | Counselor | 221 Ne Glen Oak Ave # 7w, Peoria, IL 61636-0001 | 2016-07-26 |
| 1952756199 | Bethany Rosenfeld | Counselor | 13460 N 94th Dr Ste K3, Peoria, AZ 85381-4249 | 2016-04-25 |
| 1639597172 | Jael K. Mahasi | Counselor | 1800 Ne Perry Avenue, Peoria, IL 61603 | 2014-04-02 |
| 1326476482 | Melissa A Shane | Counselor | 3020 W. Willow Knolls Drive, Peoria, IL 61614-1002 | 2013-10-28 |
| 1538400197 | Lindsy Redman | Counselor | 15396 N 83rd Ave Ste G103, Peoria, AZ 85381-5629 | 2013-03-07 |
| 1225398415 | Curt Meiss | Counselor | 914 W Glen Ave Ste 3, Peoria, IL 61614-4886 | 2012-05-21 |
| 1912204066 | Susan J Luiten | Counselor | 7031 N Patton Ln, Peoria, IL 61614-1918 | 2011-02-24 |
| 1326273608 | Rehabilitation Specialists Group, Inc. | Counselor | 7992 W Thunderbird Rd Ste 111c, Peoria, AZ 85381-4905 | 2009-05-15 |
| Find all providers in PEORIA | ||||
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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.