KELSEY JO ZETTLE (NPI# 1164043741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164043741 |
| Entity Type | Individual |
| Full Name | KELSEY JO ZETTLE |
| Practice Address |
421 W Exchange St Freeport IL 61032-4008 |
| Mailing Address |
5016 N Fawver Rd Dakota IL 61018-9630 |
| Practice Telephone | 8155997300 |
| Enumeration Date | 2020-05-05 |
| Last Update Date | 2020-05-05 |
| 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 |
| Street Address |
421 W EXCHANGE ST |
| City | FREEPORT |
| State | IL |
| Zip Code | 61032-4008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467425728 | Jane A Paradowski | Psychologist | 421 W Exchange St, Freeport, IL 61032-4030 | 2006-02-08 |
| 1538768718 | Haley Nicole Vandrew | Clinical Nurse Specialist | 421 W Exchange St, Freeport, IL 61032-4008 | 2020-10-20 |
| 1881291433 | Jacqueline M Macdonald | Clinical Nurse Specialist | 421 W Exchange St, Freeport, IL 61032-4008 | 2020-10-07 |
| 1063025211 | Janiece Kumar | Counselor | 421 W Exchange St, Freeport, IL 61032-4008 | 2020-08-27 |
| 1255956942 | Kimberly Michelle Lewis | Counselor | 421 W Exchange St, Freeport, IL 61032-4008 | 2020-06-09 |
| 1073135232 | Rosina Joy Goodloe | Counselor | 421 W Exchange St, Freeport, IL 61032-4008 | 2020-05-11 |
| 1366063513 | Jane Addams Community Mental Health Center | Clinic/Center | 421 W Exchange St, Freeport, IL 61032-4008 | 2020-04-29 |
| 1053943852 | Takesha J Brooks | Counselor | 421 W Exchange St, Freeport, IL 61032-4008 | 2020-02-10 |
| 1376182105 | Anthony Musso | Counselor | 421 W Exchange St, Freeport, IL 61032-4008 | 2019-12-26 |
| 1104473602 | Marjorie Buss | Counselor | 421 W Exchange St, Freeport, IL 61032-4008 | 2019-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517713 | Saad Awan | Pharmacist | 2545 Illinois 26 S, Freeport, IL 61032 | 2020-10-30 |
| 1891354460 | Freeport Chiropractic LLC | Chiropractor | 2 W Stephenson St, Freeport, IL 61032 | 2019-06-07 |
| 1487168373 | Lindsey Rae Harris-baker | Speech-Language Pathologist | 1802 W Laurel St, Freeport, IL 61032 | 2017-11-30 |
| 1861871246 | Pearl Pavilion LLC | Skilled Nursing Facility | 910 Kiwanis Drive, Freeport, IL 61032 | 2015-05-19 |
| 1245584598 | Mary E Brown | Massage Therapist | 815 W. Pleasant Street, Freeport, IL 61032 | 2012-11-07 |
| 1700135803 | April Braband | Specialist | 421 Exchange, Freeport, IL 61032 | 2012-09-05 |
| 1518198662 | Quad City Prosthetic Inc | Prosthetic/Orthotic Supplier | 1013 W Loras Dr, Suite A, Freeport, IL 61032 | 2009-08-06 |
| 1447486501 | Gary Alan Besley | Dentist | 1450 S. West Ave., Freeport, IL 61032 | 2009-06-03 |
| 1023244290 | Allies In Health Sc | Chiropractor | 418 W Meadows Dr., Freeport, IL 61032 | 2009-06-02 |
| 1912146614 | Kayla Nicole Rodebaugh | Specialist/Technologist | 1010 Fairway Drive, Freeport, IL 61032 | 2009-02-19 |
| Find all providers in zip 61032 | ||||
| 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 |
|---|---|---|---|---|
| 1174909022 | Aida Garza | Counselor | 200 W. 2nd St., Suite 228, Freeport, TX 77541 | 2015-08-03 |
| 1043506538 | Kimberly Chabot | Counselor | 11 Port Dr, Freeport, ME 04032-6030 | 2011-06-22 |
| 1760776918 | Meggan Marie Mcdermott-schulz | Counselor | 1134 W Staver St, Freeport, IL 61032-3727 | 2011-06-06 |
| 1518106327 | Michelle Pelaez | Counselor | 460 North Main Street, Freeport Community Health Center, Freeport, NY 11520 | 2009-02-18 |
| 1215994090 | Stephanie H Pontti | Counselor | 4 Cottage Street, Freeport, ME 04032 | 2006-04-27 |
| 1255956942 | Kimberly Michelle Lewis | Counselor | 421 W Exchange St, Freeport, IL 61032-4008 | 2020-06-09 |
| 1073135232 | Rosina Joy Goodloe | Counselor | 421 W Exchange St, Freeport, IL 61032-4008 | 2020-05-11 |
| 1053943852 | Takesha J Brooks | Counselor | 421 W Exchange St, Freeport, IL 61032-4008 | 2020-02-10 |
| 1376182105 | Anthony Musso | Counselor | 421 W Exchange St, Freeport, IL 61032-4008 | 2019-12-26 |
| 1104473602 | Marjorie Buss | Counselor | 421 W Exchange St, Freeport, IL 61032-4008 | 2019-08-20 |
| Find all providers in FREEPORT | ||||
Please comment or provide details below to improve the information on KELSEY JO ZETTLE.
| 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.