MRS. SANDRA KAY KELLERSTRASS (NPI# 1821515081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821515081 |
| Entity Type | Individual |
| Full Name | MRS. SANDRA KAY KELLERSTRASS |
| Credential | LCPC |
| Practice Address |
320 E Jackson St Ste 3 Morton IL 61550-1615 |
| Practice Telephone | (309) 678-5713 |
| Mailing Telephone | (309) 678-5713 |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
180.010932 | IL | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 30 E Jackson St Ste 3, Morton, IL 615501622 | 3096785713 |
| Street Address |
320 E JACKSON ST STE 3 |
| City | MORTON |
| State | IL |
| Zip Code | 61550-1615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174003289 | Stephanie Brown | Counselor | 320 E Jackson St Ste 3, Morton, IL 61550-1615 | 2018-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497398648 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 853 W Jackson Plaza, Morton, IL 61550 | 2019-10-21 |
| 1760924732 | The Center for Youth and Family Solutions | Residential Treatment Facility, Emotionally Disturbed Children | 260 E. Queenwood Rd., Cyfs Educational Building, Morton, IL 61550 | 2016-11-08 |
| 1770983181 | Jennifer Vissering | Nurse Practitioner | 435 Maxine Drive Suite #4, Morton, IL 61550 | 2014-09-04 |
| 1316387236 | Saint Johns Hospital | Rehabilitation Hospital | 141 E Maywood Street, Morton, IL 61550 | 2013-06-25 |
| 1801145610 | Nancy J. Anderson | Counselor | 42 Jasper Drive, Morton, IL 61550 | 2012-09-07 |
| 1689894834 | Kevin Littlefield | Dentist | 320 E Jackson, Morton, IL 61550 | 2007-04-30 |
| 1215081765 | Krueger & Associates LLC | Dentist | 213 S Clifton Street, Morton, IL 61550 | 2007-01-22 |
| 1073686218 | Darin Scott Hoffmire | Social Worker | 2401 South Fourth Street, Morton, IL 61550 | 2006-11-16 |
| 1629161856 | William Edwards | Pediatrics | 435 Maxine Drive, Suites 3 & 4, Morton, IL 61550 | 2006-10-02 |
| 1396844932 | G Gene Sidler | Internal Medicine | 619 Jackson St, Morton, IL 61550 | 2006-09-21 |
| Find all providers in zip 61550 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194344960 | Kristin Rinkenberger | Counselor | 24100 Cooper Rd, Morton, IL 61550-9498 | 2020-04-13 |
| 1801145610 | Nancy J. Anderson | Counselor | 42 Jasper Drive, Morton, IL 61550 | 2012-09-07 |
| 1063429538 | Suzanne Lee Howell | Counselor | 320 E Jackson St, Morton, IL 61550-1628 | 2006-08-01 |
| 1518567460 | Anjonette Baum | Counselor | 208 S 1st Ave, Morton, IL 61550-2044 | 2020-10-29 |
| 1538784624 | Integrated Family Therapy of Illinois, Pllc | Counselor | 204 N Main St, Morton, IL 61550-2026 | 2020-06-15 |
| 1710545793 | Rose Lange | Counselor | 75 E Queenwood Rd, Morton, IL 61550-2985 | 2019-06-04 |
| 1558929133 | Kellerstrass Counseling Ltd | Counselor | 320 E Jackson St, Morton, IL 61550-1616 | 2019-05-30 |
| 1013351659 | Lori Hirst | Counselor | 75 E Queenwood Rd, Morton, IL 61550-2985 | 2013-04-25 |
| 1619218955 | Nathan Krahn | Counselor | 75 E Queenwood Rd, Morton, IL 61550-2985 | 2013-03-12 |
| 1568769800 | Rebecca Jean Fuelberth | Counselor | 75 E Queenwood Rd, Morton, IL 61550-2985 | 2011-02-23 |
| Find all providers in MORTON | ||||
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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.