LACEY SUZANNE O'CONNOR (NPI# 1184728651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184728651 |
| Entity Type | Individual |
| Full Name | LACEY SUZANNE O'CONNOR |
| Credential | BS, MHP |
| Practice Address |
4409 Maine St Quincy IL 62305-5849 |
| Mailing Address |
Po Box 144 New Canton IL 62356-0144 |
| Practice Telephone | 2172230423 |
| Practice Fax Number | 2172230461 |
| Mailing Telephone | 2172230413 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2007-07-08 |
| 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 |
|---|---|---|---|---|
| 1447597984 | Lacey Marie O'connor | Occupational Therapist | 239 Pleasant St, Concord, NH 03301-7504 | 2013-01-03 |
| Street Address |
4409 MAINE ST |
| City | QUINCY |
| State | IL |
| Zip Code | 62305-5849 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447258181 | Scott J Wright | Psychiatry & Neurology | 4409 Maine St, Quincy, IL 62305-5849 | 2005-07-07 |
| 1285273144 | Dana R. Knox | Nurse Practitioner | 4409 Maine St, Quincy, IL 62305-5849 | 2019-12-24 |
| 1205338993 | Transitions of Western Illinois Inc. | Clinic/Center | 4409 Maine St, Quincy, IL 62305-5849 | 2018-03-08 |
| 1336697010 | Jennifer Martin | Social Worker | 4409 Maine St, Quincy, IL 62305-5849 | 2016-09-12 |
| 1164820452 | Amber Wiemelt | Social Worker | 4409 Maine St, Quincy, IL 62305-5849 | 2014-12-18 |
| 1336564764 | Nancy A Weede | Counselor | 4409 Maine St, Quincy, IL 62305-5849 | 2014-02-21 |
| 1548534688 | Transitions of Western Illinois | Clinic/Center | 4409 Maine St, Quincy, IL 62305-5849 | 2012-03-07 |
| 1720375454 | Transitions of Western Illinois | Clinic/Center | 4409 Maine St, Quincy, IL 62305-5849 | 2011-07-01 |
| 1467749192 | Transitions of Western Illinois | Clinic/Center | 4409 Maine St, Quincy, IL 62305-5849 | 2011-07-01 |
| 1053617860 | Sharadan Parks | Developmental Therapist | 4409 Maine St, Quincy, IL 62305-5849 | 2011-01-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386999001 | Kristi Michelle Gillette | Internal Medicine | 5011 Oak St, Quincy, IL 62305 | 2012-07-18 |
| 1447582549 | Cathi Marie Webb | Counselor | 3701 E Lake Center Dr, Suite # 8 The Shaw Building, Quincy, IL 62305 | 2010-02-01 |
| 1285804450 | Curtis D Fauble | Dentist | 4561 Maine, Quincy, IL 62305 | 2008-03-04 |
| 1598940256 | Kelley Jo Begeman | Licensed Practical Nurse | 934 North 1903 Road Lane, Quincy, IL 62305 | 2007-12-31 |
| 1649459470 | Aa Dental Care PC | Dentist | 407 So 48th Street, Quincy, IL 62305 | 2007-10-29 |
| 1982803920 | Dennis Ryan Wagner | Dentist | 407 South 48th St, Quincy, IL 62305 | 2007-07-11 |
| 1689899056 | Capelle House | Day Training, Developmentally Disabled Services | 3325 Ghost Hollow Road, Quincy, IL 62305 | 2007-04-13 |
| 1750416236 | Julie A Danker | Social Worker | 2209 N 64th St, Quincy, IL 62305 | 2007-02-23 |
| 1942812300 | Brooke N Bracy | Dentist | 4561 Maine, Quincy, IL 62305 | 2020-08-18 |
| 1558997379 | Blessing Corporate Services, Inc | Clinic/Center | 4800 Maine St, Quincy, IL 62305 | 2020-03-13 |
| Find all providers in zip 62305 | ||||
| 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 |
|---|---|---|---|---|
| 1396389920 | Agnes L Denson | Counselor | 66 Kenon Ln, Quincy, FL 32352-6924 | 2019-11-06 |
| 1174166532 | Jennifer Johnson | Counselor | 4355 High Bridge Rd, Quincy, FL 32351-6128 | 2019-10-17 |
| 1225686348 | Krystal Marie Gottilla | Counselor | 48a Bay State Rd, Quincy, MA 02171-1512 | 2019-09-02 |
| 1346723202 | Robert Eugene Bates | Counselor | 203 Central Ave So, Quincy, WA 98848 | 2018-09-07 |
| 1033691100 | Hector Ismael Zavala | Counselor | 203 So. Central Ave, Quincy, WA 98848 | 2018-09-05 |
| 1871097220 | Maricella Salazar | Counselor | 203 South Central, Quincy, WA 98848 | 2018-03-21 |
| 1760984777 | Oumaima Mansouri | Counselor | 110 West Squantum Street, Quincy, MA 02171 | 2018-03-06 |
| 1144737636 | James Kenneth Cheatham Jr. | Counselor | 80 Quarry St Apt 3, Quincy, MA 02169-4173 | 2018-01-05 |
| 1831612860 | Matthew Ward | Counselor | 270 County Hospital Rd. #109, Quincy, CA 95971 | 2017-07-21 |
| 1982132577 | Madison Gonzalez | Counselor | 203 So. Central, Quincy, WA 98848 | 2017-05-26 |
| Find all providers in QUINCY | ||||
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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.