MISS KATHY JO CORN (NPI# 1689769119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689769119 |
Entity Type | Individual |
Full Name | MISS KATHY JO CORN |
Credential | MA, LCPC |
Practice Address |
521 W. Main, Suite 201 B Belleville IL 62220 |
Practice Telephone | 6188250051 |
Practice Fax Number | 6188250051 |
Mailing Telephone | 6188250051 |
Mailing Fax Number | 6188250051 |
Enumeration Date | 2006-10-03 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
180-00091 | IL | Behavioral Health & Social Service Providers |
Street Address |
521 W. MAIN, SUITE 201 B |
City | BELLEVILLE |
State | IL |
Zip Code | 62220 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144729716 | St. Elizabeth's Hospital of The Hospital Sisters of The Third Order Of | Clinic/Center | 180 South Third Street Suite 101, Belleville, IL 62220 | 2018-02-08 |
1437675535 | Prorehab PC | Occupational Therapist | 1915 Carlyle Ave, Ste D, Belleville, IL 62220 | 2017-08-21 |
1629527650 | Arika Forrest | Nurse Practitioner | 140 Iowa Ave, Belleville, IL 62220 | 2016-10-03 |
1861861403 | Belleville Endoscopy LLC | Internal Medicine | 311 West Lincoln St, Suite 101, Belleville, IL 62220 | 2015-09-24 |
1962871558 | Antony Frierdich | Specialist/Technologist | 22 South 13th Street, Belleville, IL 62220 | 2015-09-24 |
1588032858 | Dana Wright | Pharmacist | 211 South Thrid Street, Belleville, IL 62220 | 2015-09-03 |
1629208731 | Lisa Marlow Johnson | Developmental Therapist | 34 Fenwood Dr, Belleville, IL 62220 | 2009-07-23 |
1841361623 | Neurological Surgery of Belleville | Neurological Surgery | 340 West Lincoln Street, Suite 540, Belleville, IL 62220 | 2006-11-13 |
1780609578 | Southern Illinois Health Care Foundation, Inc. | Counselor | 180 S 3rd St Ste 103&104, Belleville, IL 62220 | 2006-07-13 |
1043263874 | Raymond Glenn Varnum | Pharmacist | 1406 W Main St, Belleville, IL 62220 | 2006-05-19 |
Find all providers in zip 62220 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508466061 | Kathrin Simac | Counselor | 900 Royal Heights Rd # 2150, Belleville, IL 62226-5457 | 2020-10-26 |
1366053647 | Lizzi Varga Reinard | Counselor | 900 Royal Heights Rd Ste 2150, Belleville, IL 62226-5457 | 2020-08-11 |
1265066880 | Mistie Ann Tennant | Counselor | 2900 Frank Scott Pkwy W Ste 990, Belleville, IL 62223-5000 | 2020-02-24 |
1720587579 | Portia Grimes | Counselor | 45729 Prairiegrass Ct # 8, Belleville, MI 48111-6429 | 2018-02-07 |
1790290351 | Cs Therapy Services, LLC | Counselor | 6400 W Main St Ste 3j, Belleville, IL 62223-3818 | 2017-12-05 |
1538509468 | Sandra Marie Edwards | Counselor | 13081 Rawsonville Rd, Belleville, MI 48111-9401 | 2013-06-25 |
1134492150 | Christina Leigh Helm | Counselor | 320 N Church St Apt B, Belleville, IL 62220-4024 | 2012-02-22 |
1073896445 | Kelly Fletcher | Counselor | 25 Owen, Belleville, MI 48111 | 2011-09-22 |
1700195559 | Diane Jean Trosch | Counselor | 12 Maple Dr, Belleville, MI 48111-4217 | 2010-09-28 |
1376858225 | Shayla Kaprice Pickett | Counselor | 6825 Anna Dr, Belleville, MI 48111-5223 | 2010-08-16 |
Find all providers in BELLEVILLE |
City | BELLEVILLE |
Zip Code | 62220 |
Please comment or provide details below to improve the information on MISS KATHY JO CORN.
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.