KATHY BLACKMER (NPI# 1700207768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700207768 |
| Entity Type | Individual |
| Full Name | KATHY BLACKMER |
| Credential | LPC, CADC |
| Practice Address |
13508 Julie Dr Poplar Grove IL 61065 |
| Mailing Address |
Po Box 1861 Woodstock IL 60098 |
| Practice Telephone | 8152456669 |
| Practice Fax Number | 8153341640 |
| Mailing Telephone | 8152456669 |
| Mailing Fax Number | 8153341640 |
| Enumeration Date | 2013-12-18 |
| Last Update Date | 2018-05-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
178.008536 | IL | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
IL | Behavioral Health & Social Service Providers |
| Street Address |
13508 JULIE DR |
| City | POPLAR GROVE |
| State | IL |
| Zip Code | 61065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003837550 | Vincent Joseph Hope | Chiropractor | 13508 Julie Dr, Poplar Grove, IL 61065-7829 | 2006-07-21 |
| 1487037164 | Poplar Grove Natural Health Center Sc | Chiropractor | 13508 Julie Dr, Poplar Grove, IL 61065-7829 | 2015-06-30 |
| 1477941391 | Poplar Grove Natural Health Center Inc | Chiropractor | 13508 Julie Dr, Poplar Grove, IL 61065-7829 | 2014-12-30 |
| 1801997291 | Poplar Grove Chiropractic | Chiropractor | 13508 Julie Dr, Poplar Grove, IL 61065-7829 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992352819 | Amber Suarez-christensen | Occupational Therapist | 4950 Il-173, Poplar Grove, IL 61065 | 2019-08-26 |
| 1588227300 | Kimberly Jozwiak | Counselor | 4950 Rte. 173, Poplar Grove, IL 61065 | 2019-04-17 |
| 1902252075 | Pioneer Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 310 Constitution Drive Sowth West, Poplar Grove, IL 61065 | 2016-05-09 |
| 1568738821 | Ashley Lynn Moritz | Speech-Language Pathologist | 4950 Route 173, Poplar Grove, IL 61065 | 2012-03-30 |
| 1326202441 | Felker Pharmacy Inc | Pharmacy | 13521 Illinois Rt 76, Poplar Grove, IL 61065 | 2008-07-17 |
| 1295744183 | William M Bitsas | Family Medicine | 406 Maple Leaf Ln, Poplar Grove, IL 61065 | 2006-08-07 |
| 1790718104 | Troy Michael Doetch | Family Medicine | 1200 Candlewick Dr Nw, Poplar Grove, IL 61065 | 2006-07-09 |
| 1548667371 | Gemma Fletcher | Physical Therapist | 4950 Route 173, Poplar Grove, IL 61065 | 2014-11-21 |
| 1598883670 | Jeffry Stephen Clow | Speech-Language Pathologist | 492 Prairie Knoll Dr, Poplar Grove, IL 61065-7817 | 2007-03-27 |
| 1316262926 | Poplar Grove Physical Therapy, Inc. | Clinic/Center | 13526 Julie Dr, Poplar Grove, IL 61065-7829 | 2010-04-07 |
| Find all providers in zip 61065 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588227300 | Kimberly Jozwiak | Counselor | 4950 Rte. 173, Poplar Grove, IL 61065 | 2019-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780602 | Saba Aqel | Counselor | 107 W Van Buren St Ste 215, Chicago, IL 60605-1054 | 2020-11-05 |
| 1124629696 | Audra Murphy | Counselor | 1020 E Ogden Ave Ste 204, Naperville, IL 60563-8610 | 2020-11-02 |
| 1811597412 | Mindy Marie Eastling | Counselor | 27240 Dutton Rd, Beecher, IL 60401-5054 | 2020-11-01 |
| 1306446307 | Oak Point Counseling, Pllc | Counselor | 1207 Mchenry Rd Ste 217b, Buffalo Grove, IL 60089-1371 | 2020-10-28 |
| 1508466061 | Kathrin Simac | Counselor | 900 Royal Heights Rd # 2150, Belleville, IL 62226-5457 | 2020-10-26 |
| 1669071288 | Kristin Smith Warden | Counselor | 566 Cedar St, Winnetka, IL 60093-2338 | 2020-10-24 |
| 1538768155 | Angelicare LLC | Counselor | 6650 N Northwest Hwy Ste 215, Chicago, IL 60631-1363 | 2020-10-23 |
| 1568061612 | Donnie L Winget | Counselor | 536 N Division St, Carterville, IL 62918-1006 | 2020-10-20 |
| 1013516145 | Modern Soul Therapy LLC | Counselor | 2000 N Racine Ave Ste 2160, Chicago, IL 60614-4045 | 2020-10-20 |
| 1861090433 | Ruth Elaine Rayfield | Counselor | 418 North Center Street, Apt# 206, South Elgin, IL 60177 | 2020-10-15 |
| Find all providers with the same taxonomy | ||||
| City | POPLAR GROVE |
| Zip Code | 61065 |
Please comment or provide details below to improve the information on KATHY BLACKMER.
| 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.