MS. ANDREA LYNN SHRYOCK (NPI# 1194152769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194152769 |
| Entity Type | Individual |
| Full Name | MS. ANDREA LYNN SHRYOCK |
| Credential | L.C.P.C. |
| Practice Address |
128 Washington Sq Washington IL 61571-2657 |
| Mailing Address |
200 Hawkeye Way Springfield IL 62707-5722 |
| Practice Telephone | 8007731682 |
| Mailing Telephone | 2174152140 |
| Enumeration Date | 2013-09-27 |
| Last Update Date | 2013-09-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
178-003130 | IL | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
180-006626 | IL | Behavioral Health & Social Service Providers |
| N | 101YS0200X |
Counselor Specialization: School |
228311 | IL | Behavioral Health & Social Service Providers |
| Street Address |
128 WASHINGTON SQ |
| City | WASHINGTON |
| State | IL |
| Zip Code | 61571-2657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407962640 | Jessie Lynne Bricker | Occupational Therapist | 128 Washington Sq, Washington, IL 61571-2657 | 2006-08-21 |
| 1932591351 | Emily Tira | Behavioral Analyst | 128 Washington Sq, Washington, IL 61571-2657 | 2015-02-22 |
| 1740607381 | Sarah Gerdes | Developmental Therapist | 128 Washington Sq, Washington, IL 61571-2657 | 2014-03-20 |
| 1689018376 | Elizabeth Marie Heuermann | Speech-Language Pathologist | 128 Washington Sq, Washington, IL 61571-2657 | 2013-04-24 |
| 1053655696 | Josey Renee Schouweiler | Social Worker | 128 Washington Sq, Washington, IL 61571-2657 | 2012-11-20 |
| 1740545607 | Amy Louise Folkerts | Occupational Therapy Assistant | 128 Washington Sq, Washington, IL 61571-2657 | 2012-07-06 |
| 1841558335 | Elizabeth Mackle | Speech-Language Pathologist | 128 Washington Sq, Washington, IL 61571-2657 | 2012-05-02 |
| 1982971370 | Heidi Michelle Charron | Counselor | 128 Washington Sq, Washington, IL 61571-2657 | 2011-11-29 |
| 1417230814 | Larissa Rose Feucht | Occupational Therapy Assistant | 128 Washington Sq, Washington, IL 61571-2657 | 2011-09-21 |
| 1982985859 | Jennifer Lynn Perez | Psychologist | 128 Washington Sq, Washington, IL 61571-2657 | 2011-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164904504 | Kelly Hornberger | Physical Therapist | 1201 Newcastle Rd., Washington, IL 61571 | 2018-09-01 |
| 1073050407 | Jillyn Cross | Occupational Therapist | 14 Oxford Court, Washington, IL 61571 | 2017-01-24 |
| 1639410772 | Stephen L Dejaynes | Counselor | 100 Hillcrest Drive, Washington, IL 61571 | 2013-03-14 |
| 1184998692 | One Counseling and Wellness | Counselor | 1003 North Cummings Lane, Washington, IL 61571 | 2012-03-01 |
| 1871878371 | M Lisa Kim | Pharmacist | 1700 Saddleridge Ct, Washington, IL 61571 | 2011-10-15 |
| 1073805156 | Skill Sprout International | Behavioral Analyst | 102 Walnut Street, Washington, IL 61571 | 2011-05-09 |
| 1659600948 | Skill Sprout, LLC | Behavioral Analyst | 128 Washington Square, Washington, IL 61571 | 2009-12-15 |
| 1700024916 | Julie Adams | Developmental Therapist | 700 S. Elm, Washington, IL 61571 | 2009-01-26 |
| 1851595128 | Michael John Herman | Dentist | 106 So Cummings Lane, Washington, IL 61571 | 2007-06-12 |
| 1861539132 | Gary Lee Cunningham | Dentist | 5 Laurel Ct., Washington, IL 61571 | 2007-01-30 |
| Find all providers in zip 61571 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062842 | Nikki Taylor Talarico | Counselor | 601 13th St Sw, Suite 900, Washington, DC 20005 | 2020-10-27 |
| 1093322463 | Brooksi Bottari | Counselor | 1401 New York Ave Ne, Washington, DC 20002-1786 | 2020-09-29 |
| 1558976209 | Full Circle Counseling and Wellness, LLC | Counselor | 24363 Spring Creek Rd Ste K, Washington, IL 61571-9654 | 2020-09-10 |
| 1164036042 | Autonomy Alliance Counseling LLC | Counselor | 100 Alamo Dr, Washington, IL 61571-2901 | 2020-09-08 |
| 1679187058 | Leila Barzegar | Counselor | 1673 Park Rd Nw Apt 505, Washington, DC 20010-2132 | 2020-09-03 |
| 1750995593 | Almeta Mccannon | Counselor | 3005 25th St Ne, Washington, DC 20018-2511 | 2020-08-31 |
| 1912510835 | Novia Patrice Davis | Counselor | 511 Nicholson St Nw, Washington, DC 20011-2017 | 2020-08-29 |
| 1992322689 | Suzannah Dichter | Counselor | 1240 18th St Ne Apt 4, Washington, DC 20002-2080 | 2020-06-29 |
| 1013531136 | Toni Ranette Bell | Counselor | 1934 Capitol Ave Ne, Washington, DC 20002-1729 | 2020-06-04 |
| 1306467055 | Camille M White | Counselor | 6142 Sligo Mill Rd Ne, Washington, DC 20011-1526 | 2020-05-05 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 61571 |
Please comment or provide details below to improve the information on MS. ANDREA LYNN SHRYOCK.
| 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.