CECILIA R SHOOK (NPI# 1174158489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174158489 |
| Entity Type | Individual |
| Full Name | CECILIA R SHOOK |
| Credential | T-LMFT |
| Practice Address |
119 Jones St El Dorado KS 67042-1469 |
| Mailing Address |
3909 W 31st St S Apt 609 Wichita KS 67217-1169 |
| Practice Telephone | 6207948264 |
| Mailing Telephone | 9189142740 |
| Enumeration Date | 2020-03-06 |
| Last Update Date | 2020-03-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 3146 | KS | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 3146 | 05 |
| Street Address |
119 JONES ST |
| City | EL DORADO |
| State | KS |
| Zip Code | 67042-1469 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275737785 | Dccca, Inc. | Case Management | 119 Jones St, El Dorado, KS 67042-1469 | 2007-06-11 |
| 1255977302 | Stephani Lin Gallion | Social Worker | 119 Jones St, El Dorado, KS 67042-1469 | 2019-11-25 |
| 1851874762 | Janice Wendler | Social Worker | 119 Jones St, El Dorado, KS 67042-1469 | 2018-09-07 |
| 1508246612 | Bethany Frank | Social Worker | 119 Jones St, El Dorado, KS 67042-1469 | 2015-06-03 |
| 1063699973 | Marie A Wilson | Marriage & Family Therapist | 119 Jones St, El Dorado, KS 67042-1469 | 2008-01-23 |
| 1003097130 | Julie N Jones | Social Worker | 119 Jones St, El Dorado, KS 67042-1469 | 2007-11-16 |
| 1487847257 | Leslie M. Jensby | Social Worker | 119 Jones St, El Dorado, KS 67042-1469 | 2007-08-24 |
| 1760675706 | Dccca, Inc | Community/Behavioral Health | 119 Jones St, El Dorado, KS 67042-1469 | 2007-08-23 |
| 1811180896 | Sandra J Kelliher | Marriage & Family Therapist | 119 Jones St, El Dorado, KS 67042-1469 | 2007-08-22 |
| 1174716211 | James T Smith | Social Worker | 119 Jones St, El Dorado, KS 67042-1469 | 2007-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821526104 | Nolan Ryan Andrews | Dentist | 535 S. Main Street, El Dorado, KS 67042 | 2017-05-31 |
| 1902262355 | Lisbeth Leiber | Nurse Practitioner | 1737 Se Hwy 54, El Dorado, KS 67042 | 2016-01-14 |
| 1992180202 | Jennifer Clausing | Pharmacist | 205 N. Vine, El Dorado, KS 67042 | 2015-07-28 |
| 1053706655 | Aubrey Shea Ralston | General Practice | 700 W Central Ave Ste 205, El Dorado, KS 67042 | 2015-03-31 |
| 1316341027 | William L Wade | Nurse Practitioner | 1737 Se Highway 54, Eldorado, KS 67042 | 2014-10-09 |
| 1205070612 | Gabriel Omar De La Garza | Otolaryngology | 700 W Central Ave Suite 200, Eldorado, KS 67042 | 2009-04-29 |
| 1962608893 | South Central Mental Health Counseling Center Inc | Social Worker | 120 S Gordy, 3, El Dorado, KS 67042 | 2007-06-26 |
| 1699987958 | Grene Vision Group LLC | Ophthalmology | 1400 W Central, El Dorado, KS 67042 | 2007-05-07 |
| 1548388598 | Richard Alan Burton | Dentist | 310 Oil Hill Road, El Dorado, KS 67042 | 2007-03-27 |
| 1710002472 | Tender Care Pediatrics Pa | Pediatrics | 700 W. Central Ave, Ste 210, El Dorado, KS 67042 | 2007-03-20 |
| Find all providers in zip 67042 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366989568 | Shane Morr | Marriage & Family Therapist | 704 W 5th Dr, El Dorado, AR 71730 | 2017-01-25 |
| 1982811519 | Stanley L Seymour | Marriage & Family Therapist | 300 W Central Ave, El Dorado, KS 67042-2102 | 2007-05-16 |
| 1710010400 | Rod Martin | Marriage & Family Therapist | 120 N Main St Ste 5, El Dorado, KS 67042-2058 | 2007-03-13 |
| 1730245762 | John H. Prock | Marriage & Family Therapist | 6980 Crystal Blvd, El Dorado, CA 95623-4866 | 2006-12-27 |
| 1447803226 | Drdhpccc LLC | Marriage & Family Therapist | 101 W Main St Ste 200, El Dorado, AR 71730-5654 | 2019-07-19 |
| 1457884918 | Kayla Clasen | Marriage & Family Therapist | 524 N Main St, El Dorado, KS 67042-2024 | 2017-04-11 |
| 1609284462 | Amanda Marie Chadwick | Marriage & Family Therapist | 2365 W Central Ave, El Dorado, KS 67042-3208 | 2014-07-24 |
| 1780013763 | Charles Staats | Marriage & Family Therapist | 139 N Main St, 2nd Floor Front, El Dorado, KS 67042-2017 | 2013-11-11 |
| 1851724306 | Brooke Strathe | Marriage & Family Therapist | 2365 W Central Ave, El Dorado, KS 67042-3208 | 2013-08-19 |
| 1528400546 | Jana Christine Hinz | Marriage & Family Therapist | 2365 W Central Ave, El Dorado, KS 67042-3208 | 2013-07-18 |
| Find all providers in EL DORADO | ||||
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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.