MRS. BROOKE JENSEN (NPI# 1578174447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578174447 |
| Entity Type | Individual |
| Full Name | MRS. BROOKE JENSEN |
| Credential | LPC |
| Practice Address |
24735 W Eames St Channahon IL 60410-8705 |
| Mailing Address |
3741 E Chestnut St Kankakee IL 60901-8051 |
| Practice Telephone | 7083083164 |
| Mailing Telephone | 7083083164 |
| Enumeration Date | 2020-08-13 |
| Last Update Date | 2020-08-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
178014365 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053949552 | Brooke Jensen | Social Worker | 3204 S 300 E Apt 17, South Salt Lake, UT 84115-3953 | 2020-03-30 |
| 1235783895 | Brooke Jensen | Occupational Therapist | 3889 W Stetson Ave Ste 150, Hemet, CA 92545-9686 | 2019-07-31 |
| 1437410081 | Brooke A. Jensen | Technician/Technologist | 99305 Hickory Dr, Fort Drum, NY 13603-3416 | 2012-05-30 |
| 1396391769 | Brooke Jensen | Nurse Practitioner | 6238 E Pima St, Tucson, AZ 85712-3020 | 2019-08-12 |
| 1386178846 | Brooke Jensen | Family Medicine | 6110 S Minnesota Ave, Sioux Falls, SD 57108-2549 | 2017-04-11 |
| 1508313875 | Brooke Jensen | Specialist | 3695 Kipling St, Wheat Ridge, CO 80033-5738 | 2016-09-05 |
| Street Address |
24735 W EAMES ST |
| City | CHANNAHON |
| State | IL |
| Zip Code | 60410-8705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376677971 | Advanced Focus Vision Center Ltd. | Optometrist | 24735 W Eames St, Suite 11, Channahon, IL 60410-8705 | 2007-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841792801 | Rhonda Richter | Health Educator | 24735 W. Eames St., Channahon, IL 60410 | 2018-03-06 |
| 1144513938 | Channahon Dui Services, LLC | Early Intervention Provider Agency | 23157 Thomas Dillon Drive, Channahon, IL 60410 | 2011-05-26 |
| 1205057452 | Brian Morrow | Physical Therapist | 26555 South Jacob Drive, Channahon, IL 60410 | 2007-05-02 |
| 1356567531 | Alvaro Pedraza | Family Medicine | 25220 W. Reed St., Channahon, IL 60410 | 2007-04-17 |
| 1548338320 | Kevin Breen | Dentist | 25206 W Reed St, Channahon, IL 60410 | 2006-12-01 |
| 1194811943 | Gustavo A Pedraza | Internal Medicine | 25220 W Reed St, Channahon, IL 60410 | 2006-10-05 |
| 1275648511 | Morris Hospital | Clinic/Center | 25259 S Reed St, Channahon, IL 60410 | 2006-08-19 |
| 1184686909 | Nuzhat Chalisa | Internal Medicine | 25259 Reed Street, Channahon, IL 60410 | 2006-04-05 |
| 1558594580 | Paula Susan Fillak | Dentist | 25214 W Reed St, Channahon, IL 60410 | 2009-08-25 |
| 1801823059 | Anna Piper | Emergency Medicine | 27240 W Saxony Dr, Channahon, IL 60410 | 2006-06-26 |
| Find all providers in zip 60410 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568921377 | Elizabeth Joann Taylor | Counselor | 25224 W Eames St Ste C, Channahon, IL 60410-5256 | 2019-03-19 |
| 1861872558 | Lacey Jo Anderson | Counselor | 25224 W. Eames St., Channahon, IL 60410-3102 | 2015-06-08 |
| 1235471806 | Jaclyn Wesolowski | Counselor | 25224 W Eames St, Channahon, IL 60410-5215 | 2013-03-21 |
| 1184899387 | Maryann Cook | Counselor | 23157 S Thomas Dillon Dr, Channahon, IL 60410-3132 | 2008-04-28 |
| 1316506652 | Sheryl M Janz | Counselor | 27240 W Saxony Dr Ste 201, Channahon, IL 60410-1417 | 2019-06-11 |
| 1063867257 | Alliance Counseling & Coaching of Illinois, LLC | Counselor | 25224 W Eames St, Channahon, IL 60410-5215 | 2016-04-26 |
| 1003260431 | Michael Ragan | Counselor | 25224 W Eames St, Channahon, IL 60410-5215 | 2016-04-21 |
| 1437571346 | Angela Decraene | Counselor | 25224 W Eames St, Channahon, IL 60410-5215 | 2014-01-11 |
| 1447558291 | Alliance Counseling & Coaching | Counselor | 23157 S Thomas Dillon Dr, Channahon, IL 60410-3132 | 2011-03-03 |
| 1831497775 | Leigh Ann Bell | Counselor | 24724 W Eames St, Suite C, Channahon, IL 60410-5446 | 2011-03-01 |
| Find all providers in CHANNAHON | ||||
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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.