MR. WESLEY GRIESEMER (NPI# 1285006528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285006528 |
Entity Type | Individual |
Full Name | MR. WESLEY GRIESEMER |
Credential | BS |
Practice Address |
504 Micah Dr Drawer M Olney IL 62450-4720 |
Mailing Address |
504 Micah Dr Olney IL 62450-4720 |
Practice Telephone | 6183954309 |
Practice Fax Number | 6183954507 |
Mailing Telephone | 6183954309 |
Mailing Fax Number | 6183954507 |
Enumeration Date | 2015-10-27 |
Last Update Date | 2015-10-27 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
Street Address |
504 MICAH DR DRAWER M |
City | OLNEY |
State | IL |
Zip Code | 62450-4720 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538357561 | Melissa Oesch | Counselor | 504 Micah Dr, Olney, IL 62450-4720 | 2007-10-03 |
1578012480 | Steven Powden | Counselor | 504 Micah Dr, Drawer M, Olney, IL 62450-4720 | 2016-10-04 |
1184071136 | Richland Family Counseling Ctrs Inc | Counselor | 504 Micah Dr, Drawer M, Olney, IL 62450-4720 | 2016-05-19 |
1407213200 | Jana Rigg | Counselor | 504 Micah Dr, Drawer M, Olney, IL 62450-4720 | 2016-01-25 |
1568833283 | Glenn Jackson | Counselor | 504 Micah Dr, Drawer M, Olney, IL 62450-4720 | 2015-10-08 |
1427436070 | Rickie Wood | Counselor | 504 Micah Dr, Drawer M, Olney, IL 62450-4720 | 2015-05-15 |
1295151082 | Alice Mulrenin | Counselor | 504 Micah Dr, Olney, IL 62450-4720 | 2014-03-17 |
1619318623 | Ember Keller | Counselor | 504 Micah Dr, Drawer M, Olney, IL 62450-4720 | 2013-07-08 |
1518222066 | Michelle Alumbaugh | Counselor | 504 Micah Dr, Drawer M, Olney, IL 62450-4720 | 2012-07-11 |
1356618698 | Destiny M Miller | Counselor | 504 Micah Dr, Drawer M, Olney, IL 62450-4720 | 2011-11-30 |
Find all providers in the same location |
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 | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548711740 | Heather O'shaughnessy | Counselor | 18506 Snowberry Way, Olney, MD 20832-1570 | 2016-10-23 |
1083083794 | Susan Ellen Holliday | Counselor | 3405 Bantry Way, Olney, MD 20832-2251 | 2015-09-23 |
1821421694 | House Calls LLC | Counselor | 18301 Darnell Dr, Olney, MD 20832-1731 | 2013-08-15 |
1760703516 | Schanley Dominique Kuch I | Counselor | 18509 Queen Elizabeth Dr, Olney, MD 20832-1347 | 2010-06-16 |
1770801078 | Roger Kenneth Sandberg | Counselor | 2911 Olney Sandy Spring Rd Ste A, Olney, MD 20832-3506 | 2010-05-11 |
1538357561 | Melissa Oesch | Counselor | 504 Micah Dr, Olney, IL 62450-4720 | 2007-10-03 |
1275721201 | Connie Hosmer | Counselor | 209 S Camp Ave, Olney, IL 62450-1556 | 2007-10-03 |
1447877113 | Avery J Liss | Counselor | 218 E Main St, Olney, IL 62450-2114 | 2020-06-29 |
1134744709 | Dora Mae Riley | Counselor | 218 E Main St, Olney, IL 62450-2114 | 2020-06-10 |
1639712185 | Geneva R Forys | Counselor | 218 E Main St, Olney, IL 62450-2114 | 2019-10-28 |
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.