MISS MICHELLE LEE MORTENSEN (NPI# 1720209240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720209240 |
| Entity Type | Individual |
| Full Name | MISS MICHELLE LEE MORTENSEN |
| Credential | MT-BC, NMT |
| Practice Address |
816 S. First St. Princeton IL 61356 |
| Mailing Address |
115 West Seminole St. Dwight IL 60420-1151 |
| Practice Telephone | 8158755848 |
| Practice Fax Number | 8158755848 |
| Mailing Telephone | 8155842246 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225A00000X | Music Therapist | 07735 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972052371 | Michelle Mortensen | Physician Assistant | 2844 Index Rd, Fitchburg, WI 53713-3117 | 2016-09-26 |
| Street Address |
816 S. FIRST ST. |
| City | PRINCETON |
| State | IL |
| Zip Code | 61356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548698558 | Shelley Gorenz | Counselor | 1009 S. Main St., Princeton, IL 61356 | 2013-10-30 |
| 1780016626 | Jennifer Phillips | Pharmacist | 610 N. Main St., Princeton, IL 61356 | 2013-08-02 |
| 1477848521 | Princeton Prompt Care LLC | Clinic/Center | 2128 North Main Street, Princeton, IL 61356 | 2011-06-16 |
| 1306014196 | Lifefit Physical Rehab, Ltd. | Clinic/Center | 1225 N. Sixth St., Princeton, IL 61356 | 2008-02-14 |
| 1568669778 | Hawthorne Inn Supportive Living Facility | Assisted Living Facility | 136 N. Sixth St., Princeton, IL 61356 | 2007-06-29 |
| 1073733465 | Jarred Allen Farrell | Chiropractor | 682 East Peru Street, Princeton, IL 61356 | 2007-04-26 |
| 1952488397 | Donald R Marion | Optometrist | 2 Park Avenue West, Princeton, IL 61356 | 2006-11-01 |
| 1427138247 | Bruce Waldo Shriver | Dentist | 422 E Peru St, Princeton, IL 61356 | 2006-10-16 |
| 1871689612 | Jason A Monroe | Dentist | 334 Backbone Rd East, Princeton, IL 61356 | 2006-10-05 |
| 1447362629 | Paul Thomas Castelein | Dentist | 129 North Main Street, Princeton, IL 61356 | 2006-08-31 |
| Find all providers in zip 61356 | ||||
| Taxonomy Code | 225A00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Music Therapist |
| Music therapists use music interventions to assess clients' strengths and needs, develop goals, implement services, and evaluate and document progress for individuals of all ages. Music therapists facilitate changes in physical, cognitive, emotional, and/or psychosocial health. |
| Notes: Source: American Music Therapy Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457496267 | Jennifer Merth | Music Therapist | 816 S 1st St, Princeton, IL 61356-2404 | 2007-02-20 |
| 1669593661 | Jennifer R Batson | Music Therapist | 816 S 1st St, Princeton, IL 61356-2404 | 2007-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699372631 | River City Music Therapy, LLC | Music Therapist | 1504 W Moss Ave, Peoria, IL 61606-1638 | 2020-10-02 |
| 1003442724 | Valerie Wilk | Music Therapist | 1145 W Morse Ave Apt B1, Chicago, IL 60626-3512 | 2020-03-13 |
| 1104465178 | Greater Chicago Music Therapy Inc. | Music Therapist | 25 N Greenwood Ave, Palatine, IL 60074-5421 | 2019-12-23 |
| 1215571153 | Christina Ashley Koenig | Music Therapist | 1610 Sauk Rd Apt 1105, Dixon, IL 61021-8719 | 2019-11-04 |
| 1053878777 | Morgan Rocke | Music Therapist | 211 S Prospect Rd Ste 9, Bloomington, IL 61704-4910 | 2019-02-28 |
| 1942767207 | Molly Ann Grettenberger | Music Therapist | 580 Slawin Ct, Mt Prospect, IL 60056-2183 | 2019-02-22 |
| 1386117992 | Abigail Chloe Pabst | Music Therapist | 2307 N Sawyer Ave Apt 1, Chicago, IL 60647-7999 | 2019-01-07 |
| 1962971895 | Alyssa Jasmine Ott | Music Therapist | 1350 E Touhy Ave # 130, Des Plaines, IL 60018-3303 | 2018-11-20 |
| 1285109553 | Allison Marie Dunn | Music Therapist | 1148 W Chicago Ave, Chicago, IL 60642-5701 | 2018-10-12 |
| 1831678366 | Erin Ponto Freund | Music Therapist | 2065 Eldorado Dr, Geneva, IL 60134-4326 | 2018-08-06 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MISS MICHELLE LEE MORTENSEN.
| 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.