MR. GLENN CLARK EASTERLING JR. (NPI# 1336589837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336589837 |
| Entity Type | Individual |
| Full Name | MR. GLENN CLARK EASTERLING JR. |
| Credential | MA |
| Practice Address |
202 W Park Ave Champaign IL 61820-3929 |
| Mailing Address |
30 View Cir Oreana IL 62554-1975 |
| Practice Telephone | 2176934555 |
| Mailing Telephone | 2174125023 |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2013-06-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
178.008933 | IL | Behavioral Health & Social Service Providers |
| Street Address |
202 W PARK AVE |
| City | CHAMPAIGN |
| State | IL |
| Zip Code | 61820-3929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548694912 | Hannah Romoser | Case Manager/Care Coordinator | 202 W Park Ave, Champaign, IL 61820-3929 | 2013-08-21 |
| 1942632468 | Nakesha Rochelle Robinson | Social Worker | 202 W Park Ave, Champaign, IL 61820-3929 | 2013-08-07 |
| 1154753523 | Erin Cain | Counselor | 202 W Park Ave, Champaign, IL 61820-3929 | 2013-08-07 |
| 1962834960 | Benita Ann Gay | Counselor | 202 W Park Ave, Champaign, IL 61820-3929 | 2013-08-01 |
| 1063854396 | Jacqueline Christine Thomas | Social Worker | 202 W Park Ave, Champaign, IL 61820-3929 | 2013-07-29 |
| 1376985127 | Kieran Tobin | Social Worker | 202 W Park Ave, Champaign, IL 61820-3929 | 2013-07-22 |
| 1043652126 | Courtney Street | Counselor | 202 W Park Ave, Champaign, IL 61820-3929 | 2013-07-18 |
| 1861833030 | Caitlyn Warren | Counselor | 202 W Park Ave, Champaign, IL 61820-3929 | 2013-07-16 |
| 1548600299 | Lauryn Charles | Counselor | 202 W Park Ave, Champaign, IL 61820-3929 | 2013-06-26 |
| 1144665050 | Morgan R Bernier | Counselor | 202 W Park Ave, Champaign, IL 61820-3929 | 2013-05-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982217345 | Costco Wholesale Corporation | Pharmacy | 2002 N. Neil St., Champaign, IL 61820 | 2020-08-26 |
| 1255963583 | Jamey Richard Bailey | Social Worker | 701 Devonshire Drive, Bldg C, Suite 206, C-6, Champaign, IL 61820 | 2020-02-05 |
| 1790247443 | Jason Abrams | Counselor | 201 W Springfield Ave., Suite 1002-1003, Champaign, IL 61820 | 2019-04-02 |
| 1184100273 | Janine Rafferty | Pharmacist | 2002 N Neil St, Champaign, IL 61820 | 2018-07-12 |
| 1417475070 | Brodbeck Counseling, PC | Community/Behavioral Health | 301 N. Neil Street Suite 323, Champaign, IL 61820 | 2017-09-05 |
| 1447773726 | Quanata M Pelmore | Nurse's Aide | 508 E. Vine St, Champaign, IL 61820 | 2017-07-19 |
| 1821518127 | Molly Mclay | Social Worker | 309 W Clark St., Champaign, IL 61820 | 2017-06-27 |
| 1396265849 | Lou Echols Chambers | Audiologist | 901 South Sixth Street, Chamapign, IL 61820 | 2017-06-26 |
| 1962874495 | Luciana Angelica Guardini | Social Worker | 100 North Chestnut Street, Suite 244, Champaign, IL 61820 | 2015-10-23 |
| 1538544465 | Cpo Services, Inc. | Prosthetic/Orthotic Supplier | 410 E University Ave Ste 105, Champaign, IL 61820 | 2015-07-21 |
| Find all providers in zip 61820 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932712890 | Sophia Dixon | Counselor | 313 N Mattis Ave Ste 116, Champaign, IL 61821-7900 | 2020-08-28 |
| 1720607872 | Joyce Bechtel | Counselor | 100 N Chestnut St Ste 225, Champaign, IL 61820-3329 | 2020-04-09 |
| 1356975643 | Jamie Sue Stevens | Counselor | 201 W Springfield Ave Ste 208, Champaign, IL 61820-4875 | 2020-02-26 |
| 1639716624 | Melanie L. Bailey | Counselor | 701 Devonshire Dr Ste B16-b18, Champaign, IL 61820-7337 | 2019-12-09 |
| 1659932663 | George W. Cook Professional Corporation | Counselor | 1002 Mayfair Rd, Champaign, IL 61821-4435 | 2019-06-21 |
| 1891352142 | Staci Poe Counseling Services | Counselor | 53 E Bradley Ave, Champaign, IL 61820-2741 | 2019-05-22 |
| 1861968240 | Imani Taliah Harrison | Counselor | 701 Devonshire Dr Ste C53, Champaign, IL 61820-7361 | 2018-10-23 |
| 1790265825 | Anna Farris | Counselor | 201 W Springfield Ave Ste 1005, Champaign, IL 61820-4968 | 2018-08-17 |
| 1437635752 | Sheldon Gerrard Aaron | Counselor | 201 W Springfield Ave Ste 1201, Champaign, IL 61820-6385 | 2018-07-19 |
| 1114418456 | Rebecca Pauline Harrison | Counselor | 201 W Springfield Ave Ste 1006, Champaign, IL 61820-6379 | 2018-05-22 |
| Find all providers in CHAMPAIGN | ||||
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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.