STEPHANIE SEVERSON (NPI# 1831447457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831447457 |
| Entity Type | Individual |
| Full Name | STEPHANIE SEVERSON |
| Credential | LMFT |
| Practice Address |
1463 S Bell School Rd Rockford IL 61108-1406 |
| Mailing Address |
4641 Steward Rd Rockford IL 61101-2004 |
| Practice Telephone | 8157423808 |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2016-05-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 166.000966 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700264314 | Stephanie L Severson | Dietitian, Registered | 3000 32nd Ave S, Fargo, ND 58103-6132 | 2015-05-14 |
| 1962644070 | Stephanie G Severson | Case Manager/Care Coordinator | 240 N Tillotson Ave, Muncie, IN 47304-3988 | 2009-04-03 |
| Street Address |
1463 S BELL SCHOOL RD |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61108-1406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679899926 | Beth A Drennen | Social Worker | 1463 S Bell School Rd, Suite 8, Rockford, IL 61108-1406 | 2010-04-12 |
| 1427482397 | Ashley Bockelman | Social Worker | 1463 S Bell School Rd, Rockford, IL 61108-1406 | 2013-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952862617 | Isr Enterprises, Inc. | Homemaker | 129 Phelps Ave, Bldg 10, Ste 1008, Rockford, IL 61108 | 2019-03-26 |
| 1003306465 | Adrienne Nicole Black | Behavior Technician | 519 Woodland Dr, Woodland Dr, Rockford, IL 61108 | 2018-05-11 |
| 1184085201 | Integrative Healing Center, LLC | Clinic/Center | 6019 Fincham Drive, Rockford, IL 61108 | 2016-03-17 |
| 1730547936 | Perryville Dentist PC | Dentist | 845 S Perryville Rd, Unit 119, Rockford, IL 61108 | 2016-02-02 |
| 1023489853 | Nicole Ping Ticknor | Counselor | 433 S. Phelps Ave., Suite 2, Rockford, IL 61108 | 2015-10-20 |
| 1275940348 | Northwest Home Care, Inc. | Home Health | 1437 S. Bell School Road, Suite 7, Rockford, IL 61108 | 2014-07-21 |
| 1487072922 | Alecia Greenlee | Psychiatry & Neurology | Rosecrance Community Mental Health, 3815 Harrison Avenue, Rockford, IL 61108 | 2014-04-02 |
| 1871925446 | Maria Laura Gustafson | Interpreter | 3208 Wesleyan Ave., Rockford, IL 61108 | 2013-08-06 |
| 1346582822 | Joseph Peevey | Pathology | 5666 E State Street, Department of Pathology, Rockford, IL 61108 | 2013-03-21 |
| 1134466923 | James Henry Peck | Hearing Instrument Specialist | 2424 Charles St, Rockford, IL 61108 | 2013-01-14 |
| Find all providers in zip 61108 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669093001 | Jennifer Mitchell | Marriage & Family Therapist | 2108 23rd St, Rockford, IL 61108-6015 | 2020-04-27 |
| 1396216081 | Sabrina Johnson | Marriage & Family Therapist | 6653 Weaver Rd Ste 12, Rockford, IL 61114-8052 | 2018-12-06 |
| 1730544750 | Katherine L Siler | Marriage & Family Therapist | 5906 Elaine Dr Ste 105, Rockford, IL 61108-2467 | 2015-12-17 |
| 1538532510 | Jodiann Hulstedt | Marriage & Family Therapist | 3493 Fawnridge Dr, Rockford, IL 61114-5496 | 2015-11-12 |
| 1578813119 | David J Creek | Marriage & Family Therapist | 6653 Weaver Rd, Rockford, IL 61114-8025 | 2012-09-11 |
| 1831307206 | Linda Thanh Nguyen | Marriage & Family Therapist | 1330 E State St, Suite 4, Rockford, IL 61104-2251 | 2007-05-18 |
| 1851433254 | Kathleen Marie Freeburg | Marriage & Family Therapist | 5804 Elaine Dr, Mathers Clinic, Rockford, IL 61108 | 2007-02-13 |
| 1649880519 | Kelcy M Ainsworth | Marriage & Family Therapist | 6653 Weaver Rd Ste 12, Rockford, IL 61114-8025 | 2020-08-05 |
| 1285081190 | Michelle Mccabeschafer | Marriage & Family Therapist | 1401 E State St, Rockford, IL 61104-2315 | 2016-05-20 |
| 1740649235 | Kevin Verde | Marriage & Family Therapist | 2704 N Main St, Rockford, IL 61103-3112 | 2016-02-12 |
| Find all providers in ROCKFORD | ||||
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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.