RENEE PAHNKE (NPI# 1487105607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487105607 |
| Entity Type | Individual |
| Full Name | RENEE PAHNKE |
| Practice Address |
904 E. Martin Luther King Drive Centralia IL 62801-3058 |
| Practice Telephone | 6185331391 |
| Practice Fax Number | 6185330012 |
| Mailing Telephone | 6185331391 |
| Mailing Fax Number | 6185330012 |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2016-10-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 370915481007 | 05 |
| Street Address |
904 E. MARTIN LUTHER KING DRIVE |
| City | CENTRALIA |
| State | IL |
| Zip Code | 62801-3058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780762815 | Melissa Aberg West | Psychiatry & Neurology | 904 E. Martin Luther King Drive, Centralia, IL 62801 | 2006-11-02 |
| 1316509615 | Alayna Moore | Counselor | 904 E. Martin Luther King Drive, Centralia, IL 62801-3058 | 2019-07-08 |
| 1598239998 | Dawn Martinez-uribe | Counselor | 904 E. Martin Luther King Drive, Centralia, IL 62801-3058 | 2019-01-18 |
| 1720560808 | Paula Armstrong | Counselor | 904 E. Martin Luther King Drive, Centralia, IL 62801 | 2018-09-05 |
| 1417437211 | Kurtiss Hassebrock | Counselor | 904 E. Martin Luther King Drive, Centralia, IL 62801-3058 | 2018-08-21 |
| 1144700980 | Linda Hanna | Counselor | 904 E. Martin Luther King Drive, Centralia, IL 62801-3058 | 2018-08-21 |
| 1457831299 | Nadia Riazati | Counselor | 904 E. Martin Luther King Drive, Centralia, IL 62801-3058 | 2018-08-21 |
| 1316431331 | Adam Borges | Counselor | 904 E. Martin Luther King Drive, Centralia, IL 62801-3058 | 2018-06-22 |
| 1720571342 | Brittany Brown | Counselor | 904 E. Martin Luther King Drive, Centralia, IL 62801-3058 | 2018-06-08 |
| 1326540121 | Wendy Suey | Counselor | 904 E. Martin Luther King Drive, Centralia, IL 62801-3058 | 2018-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356996151 | Matthew Crawford | Counselor | 904 E Martin Luther King Dr, Centralia, IL 62801 | 2019-08-08 |
| 1588130314 | Kennah White | Counselor | 904 E. Mlk Drive, Centralia, IL 62801 | 2018-10-19 |
| 1245721588 | Lindsey Nicole Fogliasso | Counselor | 904 East Mlk Dr., Centralia, IL 62801 | 2018-05-22 |
| 1629573365 | Prabhat Shrestha | Student in an Organized Health Care Education/Training Program | 605 Sable Drive, Centralia, IL 62801 | 2018-03-26 |
| 1619496098 | Whitney Rathmann | Speech-Language Pathologist | 224 South Locust, Centralia, IL 62801 | 2017-09-17 |
| 1376082685 | Athena A Smith | Counselor | 904 E. Martin Luther King Dr, Centralia, IL 62801 | 2017-02-20 |
| 1447704069 | Meghan Branch | Counselor | 904 Martin Luther King Dr, Centralia, IL 62801 | 2016-08-11 |
| 1568820637 | Midland Area Agency On Aging | Case Management | 434 S Poplar Street, Centralia, IL 62801 | 2016-02-04 |
| 1104201714 | Keri Douglas | Nurse Practitioner | 1054 M. L. King Drive #125, Centrailia, IL 62801 | 2015-07-24 |
| 1215331509 | Melissa Dane | Counselor | 904 E Martin Luther King Dr., Centralia, IL 62801 | 2014-10-15 |
| Find all providers in zip 62801 | ||||
| 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 |
|---|---|---|---|---|
| 1790385821 | Joshua Bigner | Counselor | 201 S Tower Ave Apt E2, Centralia, WA 98531-4055 | 2020-10-28 |
| 1356996151 | Matthew Crawford | Counselor | 904 E Martin Luther King Dr, Centralia, IL 62801 | 2019-08-08 |
| 1588130314 | Kennah White | Counselor | 904 E. Mlk Drive, Centralia, IL 62801 | 2018-10-19 |
| 1245721588 | Lindsey Nicole Fogliasso | Counselor | 904 East Mlk Dr., Centralia, IL 62801 | 2018-05-22 |
| 1376078246 | Ashley Patrice Broussard | Counselor | 1723 Kresky Ave, Centralia, WA 98531-8985 | 2017-04-27 |
| 1376082685 | Athena A Smith | Counselor | 904 E. Martin Luther King Dr, Centralia, IL 62801 | 2017-02-20 |
| 1023552551 | Kelsey Dulle | Counselor | 904 Martin Luther King Drive, Centralia, IL 62801-3058 | 2016-12-19 |
| 1548703580 | Tiana Barbee | Counselor | 904 Mlk Drive, Centralia, IL 62801-3058 | 2016-11-23 |
| 1518411131 | Shelia Wilson | Counselor | 904 E. Martin Luther King, Centralia, IL 62801-3058 | 2016-08-11 |
| 1447704069 | Meghan Branch | Counselor | 904 Martin Luther King Dr, Centralia, IL 62801 | 2016-08-11 |
| Find all providers in CENTRALIA | ||||
Please comment or provide details below to improve the information on RENEE PAHNKE.
| 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.