JEANETTE M TROTTER (NPI# 1689024853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689024853 |
| Entity Type | Individual |
| Full Name | JEANETTE M TROTTER |
| Other Name | JEANETTE M COOK |
| Credential | LCPC, NCC |
| Practice Address |
115 W Mason St Ste 201 Polo IL 61064-1501 |
| Practice Telephone | 8159735982 |
| Practice Fax Number | 8159462592 |
| Mailing Telephone | 8159735982 |
| Mailing Fax Number | 8159462592 |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2016-07-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
180.007503 | IL | Behavioral Health & Social Service Providers |
| Street Address |
115 W MASON ST STE 201 |
| City | POLO |
| State | IL |
| Zip Code | 61064-1501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225088172 | Henry Oh | Family Medicine | 711 Division St., Polo, IL 61064 | 2006-05-11 |
| 1669443966 | Debra C Drengenberg | Family Medicine | 1107 S. Division Ave., Ksb Center for Health Services/polo, Polo, IL 61064 | 2006-01-27 |
| 1174096028 | Polo Pharmacy, Inc. | Pharmacy | 111 E Mason St, Polo, IL 61064-1521 | 2019-01-03 |
| 1023154630 | Felker Pharmacy Inc | Pharmacy | 110 E Mason St, Polo, IL 61064-1522 | 2007-01-30 |
| 1295732360 | Mid Americacare Foundation | Skilled Nursing Facility | 703 E Buffalo St, Polo, IL 61064-1701 | 2005-07-05 |
| 1912546847 | Polo Hco LLC | Skilled Nursing Facility | 703 E Buffalo St, Polo, IL 61064-1701 | 2019-12-23 |
| 1275184624 | Karen Sue Williams | Physical Therapy Assistant | 703 E Buffalo St, Polo, IL 61064-1701 | 2019-09-26 |
| 1164083630 | Karina Nehrkorn | Speech-Language Pathologist | 703 E Buffalo St, Polo, IL 61064-1701 | 2019-06-25 |
| 1972093292 | Mubaraka Bootwala | Occupational Therapist | 703 E Buffalo St, Polo, IL 61064-1701 | 2018-05-11 |
| 1770761082 | Polo Hco LLC | Skilled Nursing Facility | 703 E Buffalo St, Polo, IL 61064-1701 | 2008-02-08 |
| Find all providers in zip 61064 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457952194 | Hope Kravetz | Counselor | 815 Belinder Ln, Schaumburg, IL 60173-6360 | 2020-11-07 |
| 1609477579 | Shantrell Patrice Sutton | Counselor | 5042 W Erie St, Chicago, IL 60644-1604 | 2020-11-05 |
| 1073114591 | Alternative Schools Network | Counselor | 1807 W Sunnyside Ave, Chicago, IL 60640-5898 | 2020-11-02 |
| 1992306518 | Gravity and Grace Psychotherapy, Pllc | Counselor | 1305 S Michigan Ave Apt 602, Chicago, IL 60605-3398 | 2020-11-02 |
| 1811597263 | April Wilburne | Counselor | 804 E 54th St Apt 3, Chicago, IL 60615-4972 | 2020-10-27 |
| 1043810393 | Pamela Kranyak | Counselor | 30 N Michigan Ave Ste 925, Chicago, IL 60602-3463 | 2020-10-27 |
| 1831798404 | Erin Frasco | Counselor | 622 Davis St # 200, Evanston, IL 60201-4491 | 2020-10-23 |
| 1568061224 | Alternative Counseling Solutions, Inc | Counselor | 6469 E Mccormick Rd, Stillman Valley, IL 61084-9736 | 2020-10-22 |
| 1396344537 | Janet M Wills | Counselor | 223 N Prospect Ave, Streamwood, IL 60107-4103 | 2020-10-19 |
| 1225637614 | Sharice Ellenwood | Counselor | 1087 N Village Dr, Round Lake Beach, IL 60073 | 2020-10-18 |
| 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.