MRS. KELLY SUE WILLENBORG (NPI# 1467935775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467935775 |
| Entity Type | Individual |
| Full Name | MRS. KELLY SUE WILLENBORG |
| Credential | MA IN GERONTOLOGY |
| Practice Address |
300 Sur Woods Dr Effingham IL 62401-3113 |
| Mailing Address |
604 E Jefferson Ave Effingham IL 62401-3405 |
| Practice Telephone | 2172542149 |
| Mailing Telephone | 2172542149 |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2018-09-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225C00000X | Rehabilitation Counselor | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
| N | 174H00000X | Health Educator | Other Service Providers |
| Street Address |
300 SUR WOODS DR |
| City | EFFINGHAM |
| State | IL |
| Zip Code | 62401-3113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568021269 | Rhodes To Health, LLC | Chiropractor | 200 E. Fayette Ave, Effingham, IL 62401 | 2019-06-07 |
| 1467951699 | Sarah Bush Lincoln Health Center | Durable Medical Equipment & Medical Supplies | 903 N Maple St, Effingham, IL 62401 | 2018-02-02 |
| 1033632187 | Diel Counseling Inc. | Counselor | 444 S. Willow #7, Effingham, IL 62401 | 2017-07-20 |
| 1770930968 | Community Support Systems | Intermediate Care Facility, Mentally Retarded | 2311 Veterans Drive, Effingham, IL 62401 | 2016-05-18 |
| 1194107102 | Radhika Annam | Internal Medicine | 500 N. Maple St., Joslin Diabetes Center Affiliate At Hshs Medical Group, Effingham, IL 62401 | 2015-06-25 |
| 1912334558 | Ruben Boyajian, Md | Surgery | 904 Medical Park Drive, Suite 2, Effingham, IL 62401 | 2013-09-27 |
| 1427483502 | Daniel E Czajkowski | Physical Therapist | 2611 S Banker St, Effingham, Il, Effingham, IL 62401 | 2013-09-09 |
| 1093140501 | Lifetime Dental Care of Maryland, Badger, P.C. | Dentist | 1200 Network Centre Drive, Suite #2, Effingham, IL 62401 | 2013-09-04 |
| 1689926487 | Wellness Loft Inc. | Counselor | 408 South 4th St., Effingham, IL 62401 | 2012-10-04 |
| 1598011470 | Patricia R. Diel | Social Worker | 444 S. Willow, Suite 7, Effingham, IL 62401 | 2012-07-30 |
| Find all providers in zip 62401 | ||||
| Taxonomy Code | 225C00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Counselor |
| An individual trained and educated in a systematic process of assisting persons with physical, mental, developmental, cognitive, and emotional disabilities to achieve their personal, career, and independent living goals assessment and appraisal, diagnosis and treatment planning, career (vocational) counseling, individual and group counseling interventions for adjustments to the medical and psychosocial impact of disability, case management, program evaluation and research, job analysis and placement counseling, and consultation on rehabilitation resources and technology. Certification generally requires a Master’s degree with specialized courses in rehabilitation processes and technology. |
| Notes: Sources: Commission on Rehabilitation Counselor Certification and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053809293 | Richard Albert Price | Rehabilitation Counselor | 1924 Melrose Dr Apt C, Champaign, IL 61820-2048 | 2018-04-24 |
| 1558643718 | Gail L Russell | Rehabilitation Counselor | 1003 S Westlawn Ave, Champaign, IL 61821-4412 | 2011-09-14 |
| 1689955486 | Candice Letha Sarver | Rehabilitation Counselor | 210 Brady Ln, Urbana, IL 61802-4604 | 2011-09-07 |
| 1275813040 | Eric Miller | Rehabilitation Counselor | 207 1/2 N Busey Ave, Urbana, IL 61801-3116 | 2011-08-24 |
| 1598054975 | Meagan Nicole Quigley | Rehabilitation Counselor | 505 N Douglas St, Villa Grove, IL 61956-1032 | 2011-04-06 |
| 1407153182 | Jessica L Foley | Rehabilitation Counselor | 804 W Vine St, Champaign, IL 61820-2825 | 2011-02-16 |
| 1679878037 | Benjamin Joseph Unander | Rehabilitation Counselor | 1401 Glenshire Dr, Champaign, IL 61822-7701 | 2011-01-17 |
| 1073816203 | Jazmin Pazmino | Rehabilitation Counselor | 1801 Valley Rd, A, Champaign, IL 61820-7143 | 2010-12-09 |
| 1831409432 | Candis Kim | Rehabilitation Counselor | 3310 Sharp Dr., Champaign, IL 61822 | 2010-10-15 |
| 1205145315 | Whitney Akhtar | Rehabilitation Counselor | 408 Ginger Bend Dr, Apt 306, Champaign, IL 61822-3570 | 2010-10-07 |
| Find all providers with the same taxonomy | ||||
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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.