MARY A MCKINNELL (NPI# 1407900459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407900459 |
| Entity Type | Individual |
| Full Name | MARY A MCKINNELL |
| Other Name | MARY ANN HEILEMEIER AND DECKER |
| Credential | L.C.P.C |
| Practice Address |
8 Health Services Dr Ste 4 Dekalb IL 60115-9647 |
| Practice Telephone | 8157488900 |
| Practice Fax Number | 8157488921 |
| Mailing Telephone | 8157488900 |
| Mailing Fax Number | 8157488921 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | IL | Behavioral Health & Social Service Providers |
| Street Address |
8 HEALTH SERVICES DR STE 4 |
| City | DEKALB |
| State | IL |
| Zip Code | 60115-9647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407997208 | Emily K Hummel | Marriage & Family Therapist | 8 Health Services Dr Ste 4, Dekalb, IL 60115-9647 | 2007-02-12 |
| 1063566073 | Kim Volk | Counselor | 8 Health Services Dr Ste 4, Dekalb, IL 60115-9647 | 2007-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598372179 | Megan Erhart | Counselor | 304 N. 6th Street, Dekalb, IL 60115 | 2020-09-28 |
| 1689141616 | Stephanie Klewin | Psychologist | 631 S 1st Street, Dekalb, IL 60115 | 2018-10-29 |
| 1164902219 | Kimberly Ann Hart | Counselor | 290 N. Annie Glidden Drive, Gh 416, Niu, Dekalb, IL 60115 | 2018-08-17 |
| 1497235824 | Cory David Michael Hayden | Specialist/Technologist | 175 Yordon Center (niu Athletic Training), Dekalb, IL 60115 | 2018-08-15 |
| 1154807808 | Michael John Borak | Pharmacist | 975 S Annie Glidden Road, Schnucks Market Inc, Dekalb, IL 60115 | 2018-07-16 |
| 1184125841 | Candace Schroeffel | Student in an Organized Health Care Education/Training Program | 520 Garden Rd, Dekalb, IL 60115 | 2018-02-27 |
| 1033627583 | Hannah M Studebaker | Massage Therapist | 3266 Sycamore Road, Dekalb, IL 60115 | 2018-01-18 |
| 1649700238 | Jennifer Mangino | Behavioral Analyst | 138 Berkshire Dr, Dekalb, IL 60115 | 2017-06-15 |
| 1003346628 | Victoria Tullock | Counselor | 631 South First St., Dekalb, IL 60115 | 2017-06-15 |
| 1194263848 | Brianna Kraft | Specialist/Technologist | 900 Crane Dr, Dekalb, IL 60115 | 2017-02-02 |
| Find all providers in zip 60115 | ||||
| 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 |
|---|---|---|---|---|
| 1538227269 | Penelope Shavit | Counselor | 829 S 2nd St, Dekalb, IL 60115-4170 | 2006-12-05 |
| 1376167734 | Hannah Grace Brennan | Counselor | 12 Health Services Dr, Dekalb, IL 60115-9637 | 2020-06-02 |
| 1073137519 | Emily Nicole Taylor | Counselor | 631 S 1st St, Dekalb, IL 60115-4117 | 2020-06-01 |
| 1225662794 | Lucy Sosa | Counselor | 1325 Sycamore Rd, Dekalb, IL 60115-2483 | 2020-02-24 |
| 1912565466 | Rebecca Lynn Viereckl | Counselor | 12 Health Services Dr, Dekalb, IL 60115-9637 | 2019-05-30 |
| 1093253841 | Katy Mathey | Counselor | 631 S 1st St, Dekalb, IL 60115-4117 | 2017-02-01 |
| 1881136398 | Justin Bartlett | Counselor | 631 S 1st St, Dekalb, IL 60115-4117 | 2016-11-15 |
| 1003368739 | Christine Alexandra Espe Maxwell | Counselor | 12 Health Services Dr, Dekalb, IL 60115-9637 | 2016-10-28 |
| 1316495310 | Leslie Albion | Counselor | 14 Health Services Dr, Dekalb, IL 60115-9637 | 2016-09-19 |
| 1598116220 | Ashley Jean Salazar | Counselor | 631 S 1st St, Dekalb, IL 60115-4117 | 2016-06-23 |
| Find all providers in DEKALB | ||||
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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.