THERESA JOAN DENNIS (NPI# 1134616790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134616790 |
| Entity Type | Individual |
| Full Name | THERESA JOAN DENNIS |
| Credential | LCPC |
| Practice Address |
2610 W Richwoods Blvd Peoria IL 61604-7112 |
| Practice Telephone | 3093236600 |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2018-04-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
180.003687 | IL | Behavioral Health & Social Service Providers |
| Street Address |
2610 W RICHWOODS BLVD |
| City | PEORIA |
| State | IL |
| Zip Code | 61604-7112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972876258 | The Center for Youth and Family Solutions, Inc | Voluntary or Charitable | 2610 W Richwoods Blvd, Peoria, IL 61604-7112 | 2012-02-16 |
| 1821624487 | Hannah Rose Maloney | Social Worker | 2610 W Richwoods Blvd, Peoria, IL 61604-7112 | 2020-03-16 |
| 1811479306 | Tatenda Alisa Perry | Social Worker | 2610 W Richwoods Blvd, Peoria, IL 61604-7112 | 2018-08-31 |
| 1114415478 | Linda Williams | Counselor | 2610 W Richwoods Blvd, Peoria, IL 61604-7112 | 2018-04-23 |
| 1609374412 | Michelle Gaede | Counselor | 2610 W Richwoods Blvd, Peoria, IL 61604-7112 | 2018-01-26 |
| 1356710065 | Rachel Bell | Counselor | 2610 W Richwoods Blvd, Peoria, IL 61604-7112 | 2015-09-23 |
| 1245616465 | Nicholas Heuermann | Social Worker | 2610 W Richwoods Blvd, Peoria, IL 61604-7112 | 2015-08-11 |
| 1699010447 | Christine Anne Sallee | Counselor | 2610 W Richwoods Blvd, Peoria, IL 61604-7112 | 2012-12-05 |
| 1265795835 | Kristen Leman | Social Worker | 2610 W Richwoods Blvd, Peoria, IL 61604-7112 | 2012-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205357928 | Nydia I Rodriguez | Nurse's Aide | 3305 N Finnell Ave, Peoria, IL 61604 | 2017-07-03 |
| 1720327976 | Brin Diagnostics Inc. | Clinical Medical Laboratory | 3216 W Kenwood, West Peoria, IL 61604 | 2013-02-07 |
| 1225373715 | Ngocyen Thi Ngo | Pharmacist | 2515 N Knoxville Avenue, Peoria, IL 61604 | 2012-12-10 |
| 1194027003 | Schelly Chiropractic, Inc | Chiropractor | 1208 W Loucks, Peoria, IL 61604 | 2010-11-29 |
| 1770755852 | Dental Sealants & More | Dentist | 2126 N. University St., Peoria, IL 61604 | 2008-03-28 |
| 1821266123 | David L Krick | Dentist | 2022 N University, Peoria, IL 61604 | 2008-02-20 |
| 1568658409 | Advanced Physicians Health Care, S.c. | Chiropractor | 1200 West Loucks Ave, Peoria, IL 61604 | 2007-09-24 |
| 1902006000 | Noel Liu | Dentist | 3127 N. University St., Unit C, Peoria, IL 61604 | 2007-07-18 |
| 1568586386 | Susan B Bordenave-bishop | Dentist | 2116 N. Sheridan, Peoria, IL 61604 | 2007-03-19 |
| 1174689897 | Paul Anthony Amodeo | Dentist | 3100 N Dries Lane, Suite 301, Peoria, IL 61604 | 2006-12-28 |
| Find all providers in zip 61604 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487254629 | Bernadette Bruha | Counselor | 10028 W Redbird Rd, Peoria, AZ 85383-3368 | 2020-10-27 |
| 1063020071 | Pschertz Counseling | Counselor | 5016 N University St Ste 101, Peoria, IL 61614-4763 | 2020-07-15 |
| 1427674902 | Centerpoint Counseling Associates LLC | Counselor | 7820 N University St Ste 102b, Peoria, IL 61614-1220 | 2020-06-22 |
| 1962032938 | Sheri Orr | Counselor | 8401 W Desert Elm Ln, Peoria, AZ 85383-3645 | 2020-01-18 |
| 1952958050 | Emily Louise Trulson | Counselor | 3526 N California Ave, Peoria, IL 61603-1168 | 2019-08-22 |
| 1518441997 | Jill Johnson | Counselor | 29267 N 123rd Dr, Peoria, AZ 85383-4074 | 2018-09-20 |
| 1407359367 | Lori Bushell Counseling LLC | Counselor | 2000 W Pioneer Pkwy Ste 20, Peoria, IL 61615-5805 | 2018-03-16 |
| 1114427952 | Jessica Anne Hunter | Counselor | 10184 W Happy Valley Rd Ste 190, Peoria, AZ 85383-1254 | 2018-02-19 |
| 1881101806 | Michelle Elizabeth Juslin | Counselor | 8530 W Caribbean Ln, Peoria, AZ 85381-3531 | 2017-12-29 |
| 1235672973 | Amy N Kelch | Counselor | 4228 N University St, Peoria, IL 61614-6913 | 2016-11-29 |
| 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.