MR. KEN SCHANDA (NPI# 1205090305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205090305 |
| Entity Type | Individual |
| Full Name | MR. KEN SCHANDA |
| Practice Address |
208 E Main St Olney IL 62450-2114 |
| Mailing Address |
Po Box M 504 Micah Drive Olney IL 62450-0913 |
| Practice Telephone | 6183923090 |
| Practice Fax Number | 6183922754 |
| Mailing Telephone | 6183954306 |
| Mailing Fax Number | 6183954507 |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2008-07-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
208 E MAIN ST |
| City | OLNEY |
| State | IL |
| Zip Code | 62450-2114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801399837 | Rachel Frederick | Counselor | 208 E Main St, Olney, IL 62450-2114 | 2018-03-15 |
| 1215191317 | Carla Kuhl | Counselor | 208 E Main St, Olney, IL 62450-2114 | 2008-07-17 |
| 1396923272 | South Eastern Illinois Counseling Center Inc | Case Management | 208 E Main St, Olney, IL 62450-2114 | 2008-02-04 |
| 1760670723 | Lisa Tarpley | Counselor | 208 E Main St, Olney, IL 62450-2114 | 2007-10-04 |
| 1932397999 | Donna Melluzzo | Counselor | 208 E Main St, Olney, IL 62450-2114 | 2007-10-04 |
| 1942498902 | Jennifer Gibbs | Counselor | 208 E Main St, Olney, IL 62450-2114 | 2007-10-04 |
| 1104013242 | Jane Thompson-smith | Counselor | 208 E Main St, Olney, IL 62450-2114 | 2007-10-03 |
| 1083801005 | Lucinda Woodworth | Technician | 208 E Main St, Olney, IL 62450-2114 | 2007-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851530091 | Donna Harris | Counselor | 515 West St. John Street, Olney, IL 62450 | 2009-02-11 |
| 1942476908 | Christa Dawn Jennette | Private Vehicle | 1113 Keiffer Dr, Olney, IL 62450 | 2008-04-30 |
| 1942491162 | Marion County Horizon Center D/b/a Richland Manor | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1066 West Main St, Olney, IL 62450 | 2007-08-05 |
| 1811100407 | Advanced Open Mri, Inc. | Clinic/Center | 605 East Main Street, Olney, IL 62450 | 2007-05-08 |
| 1548489958 | Frank Edward Gruber | Dentist | 1108 N East St, Olney, IL 62450 | 2007-04-24 |
| 1508084591 | Melvin Borja Escalona | Physical Therapist | 800 East Locust St., Olney, IL 62450 | 2007-04-23 |
| 1881769826 | Jeffrey Alan Kocher | Chiropractor | 731 S West St, Olney, IL 62450 | 2006-11-22 |
| 1336211523 | Patricia Lynn Kessler Bookhout | Dentist | 1104 North East, Olney, IL 62450 | 2006-11-14 |
| 1639159015 | Bowers Drug Store Inc | Pharmacy | 205 E Main, Olney, IL 62450 | 2006-01-20 |
| 1336137199 | South Eastern Illinois Counseling Center Inc | Counselor | 504 Micah Drive, Drawer M, Olney, IL 62450 | 2005-10-06 |
| Find all providers in zip 62450 | ||||
| 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 |
|---|---|---|---|---|
| 1720552417 | Elizabeth M Aitken | Counselor | 3801 Brooke Meadow Ln, Olney, MD 20832-1301 | 2019-01-15 |
| 1063727352 | Chelsey J Sterchi | Counselor | 1020 E Butler St, Olney, IL 62450-2646 | 2010-08-11 |
| 1851530091 | Donna Harris | Counselor | 515 West St. John Street, Olney, IL 62450 | 2009-02-11 |
| 1023279809 | Kristy Rebecca Arthur | Counselor | 2923 Olney Sandy Springs Rd, Suite E, Olney, MD 20832 | 2008-06-24 |
| 1124215140 | Jennifer Oesch | Counselor | Po Box M, 504 Micah Drive, Olney, IL 62450-0913 | 2007-10-03 |
| 1336137199 | South Eastern Illinois Counseling Center Inc | Counselor | 504 Micah Drive, Drawer M, Olney, IL 62450 | 2005-10-06 |
| 1285183798 | Pamela Matteson | Counselor | 515 W Saint John St, Olney, IL 62450-1426 | 2016-09-26 |
| 1194274605 | Summer Holshouser | Counselor | 515 W Saint John St, Olney, IL 62450-1426 | 2016-09-26 |
| 1295284800 | Tamera Hayes | Counselor | 209 S Camp Ave, Olney, IL 62450-1556 | 2016-09-23 |
| 1316496953 | Barbara Spurlock | Counselor | 515 W Saint John St, Olney, IL 62450-1426 | 2016-09-23 |
| Find all providers in OLNEY | ||||
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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.