MISS ROBERTA POOL (NPI# 1669801171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669801171 |
| Entity Type | Individual |
| Full Name | MISS ROBERTA POOL |
| Credential | LPC |
| Practice Address |
2011 N Knoxville Ave Peoria IL 61603-2414 |
| Practice Telephone | 3096851047 |
| Enumeration Date | 2013-11-05 |
| Last Update Date | 2013-11-05 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194704049 | Roberta Lee Pool | Nurse Practitioner | 140 Bryan Blvd, Corbin, KY 40701-2775 | 2006-01-10 |
| Street Address |
2011 N KNOXVILLE AVE |
| City | PEORIA |
| State | IL |
| Zip Code | 61603-2414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962789990 | Amanda Brooke Wetzel | Counselor | 2011 N Knoxville Ave, Peoria, IL 61603-2414 | 2011-11-04 |
| 1740632546 | Children's Home Association of Illinois | Community/Behavioral Health | 2011 N Knoxville Ave, Peoria, IL 61603-2414 | 2016-07-06 |
| 1073920054 | Kevin William Aldridge | Counselor | 2011 N Knoxville Ave, Peoria, IL 61603-2414 | 2014-07-22 |
| 1164839486 | Timothy Cain | Counselor | 2011 N Knoxville Ave, Peoria, IL 61603-2414 | 2014-07-18 |
| 1619390119 | Christine Rutter | Counselor | 2011 N Knoxville Ave, Peoria, IL 61603-2414 | 2014-02-04 |
| 1457774671 | Regina Bridges | Counselor | 2011 N Knoxville Ave, Peoria, IL 61603-2414 | 2014-01-23 |
| 1407279821 | Janette King | Counselor | 2011 N Knoxville Ave, Peoria, IL 61603-2414 | 2014-01-22 |
| 1265863153 | Ashley Goyer | Social Worker | 2011 N Knoxville Ave, Peoria, IL 61603-2414 | 2013-12-03 |
| 1881024289 | Sara Sue Schnauber | Social Worker | 2011 N Knoxville Ave, Peoria, IL 61603-2414 | 2013-11-21 |
| 1578992905 | Katherine Johnson | Counselor | 2011 N Knoxville Ave, Peoria, IL 61603-2414 | 2013-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598362980 | Courtney Klein | Nurse Practitioner | 1306 N. Berkley Ave, Peoria, IL 61603 | 2020-10-08 |
| 1114588217 | Kong Xing Wang | Dentist | 320 East Armstrong Ave, Peoria, IL 61603 | 2019-06-28 |
| 1073015319 | Sara Kristine Rosenbery | Nurse Practitioner | 515 Ne Glen Oak Ave Ste 202, Peoria, IL 61603 | 2018-03-02 |
| 1861860058 | Jennifer Michelle Kelsey | Clinical Nurse Specialist | 420 Ne Glen Oak Avenue, Suite 401, Peoria, IL 61603 | 2015-09-04 |
| 1467859793 | Bonnie Lansing | Counselor | 617 N Gendale Avenue, Behavioral Health Adult Program, Peoria, IL 61603 | 2014-12-02 |
| 1639597172 | Jael K. Mahasi | Counselor | 1800 Ne Perry Avenue, Peoria, IL 61603 | 2014-04-02 |
| 1992054829 | Justin S Ferragut | Radiology | 530 Northeast Glen Oak Avenue, Peoria, IL 61603 | 2012-09-06 |
| 1780952994 | Syed Muhammad Tayyab | Internal Medicine | 828 Ne Glen Oak Ave Apt No208a, Peoria, IL 61603 | 2011-12-02 |
| 1528389079 | St. Francis Medical Center | General Acute Care Hospital | 530 N E Glen Oak Ave, Peoria, IL 61603 | 2010-06-18 |
| 1780810648 | Children's Home Association of Illinois | Voluntary or Charitable | 400 E. Frye, Peoria, IL 61603 | 2009-06-05 |
| Find all providers in zip 61603 | ||||
| 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 |
|---|---|---|---|---|
| 1346863628 | Az Synergy Counseling, LLC | Counselor | 20835 N 98th Ave, Peoria, AZ 85382-5100 | 2020-05-21 |
| 1689201584 | Denise Zadwarny | Counselor | 8538 W Lawrence Ln, Peoria, AZ 85345-2537 | 2020-03-23 |
| 1073066155 | Caroline Vanaman | Counselor | 221 Ne Glen Oak Ave # 7w, Peoria, IL 61636-0001 | 2016-07-26 |
| 1952756199 | Bethany Rosenfeld | Counselor | 13460 N 94th Dr Ste K3, Peoria, AZ 85381-4249 | 2016-04-25 |
| 1639597172 | Jael K. Mahasi | Counselor | 1800 Ne Perry Avenue, Peoria, IL 61603 | 2014-04-02 |
| 1326476482 | Melissa A Shane | Counselor | 3020 W. Willow Knolls Drive, Peoria, IL 61614-1002 | 2013-10-28 |
| 1538400197 | Lindsy Redman | Counselor | 15396 N 83rd Ave Ste G103, Peoria, AZ 85381-5629 | 2013-03-07 |
| 1225398415 | Curt Meiss | Counselor | 914 W Glen Ave Ste 3, Peoria, IL 61614-4886 | 2012-05-21 |
| 1912204066 | Susan J Luiten | Counselor | 7031 N Patton Ln, Peoria, IL 61614-1918 | 2011-02-24 |
| 1104141688 | Kelly L Lenz | Counselor | 2603 S High Meadow Dr, Peoria, IL 61607-1415 | 2010-03-29 |
| Find all providers in PEORIA | ||||
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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.