MS. KATHLEEN M SHEA (NPI# 1871074930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871074930 |
Entity Type | Individual |
Full Name | MS. KATHLEEN M SHEA |
Credential | LCPC, CADC |
Practice Address |
417 W Madison St Ottawa IL 61350-2836 |
Practice Telephone | 8154318206 |
Mailing Telephone | 8154318206 |
Enumeration Date | 2018-08-27 |
Last Update Date | 2018-08-27 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
180.002890 | IL | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | LCPC, CADC | 1154538510 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053701888 | Kathleen Shea | Psychologist | 2706 Alt 19n, Suite 214, Palm Harbor, FL 34683-2641 | 2015-02-02 |
1073832010 | Kathleen A. Shea | Developmental Therapist | 508 E Scovill St, Urbana, IL 61801-6745 | 2010-05-28 |
1245487545 | Kathleen M Shea | Audiologist | 1401 F Main St, Hilton Head Island, SC 29926 | 2008-08-19 |
1235220369 | Kathleen V Shea | Psychologist | 42258 N Crawford Rd, A-1, Antioch, IL 60002-9570 | 2006-09-27 |
1043792187 | Kathleen Shea | Social Worker | 220r Forbes Rd, Braintree, MA 02184-2702 | 2018-09-05 |
1932595675 | Kathleen Shea | Social Worker | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2015-04-09 |
1851719785 | Kathleen Shea | Occupational Therapist | 4725 Merle Hay Rd, Suite 107, Des Moines, IA 50322-1983 | 2014-03-28 |
1083976021 | Kathleen Shea | Specialist | 300 Garden City Plz, Suite 350, Garden City, NY 11530-3302 | 2012-06-14 |
1972813343 | Kathleen Shea | Nurse Practitioner | 70 Main St, Taunton, MA 02780-2778 | 2010-10-19 |
1508059916 | Kathleen Mary Shea | Occupational Therapy Assistant | 203 Lowell Rd, Hudson, NH 03051-4909 | 2007-08-20 |
Street Address |
417 W MADISON ST |
City | OTTAWA |
State | IL |
Zip Code | 61350-2836 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003843798 | Garth I Brewer | Dentist | 417 W Madison St, Suite 101b, Ottawa, IL 61350-2836 | 2006-06-27 |
1144589177 | Melinda Vesely | Counselor | 417 W Madison St, Ste 208-b, Ottawa, IL 61350-2836 | 2012-05-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306336359 | Yulandist Jeannie Brown | Licensed Practical Nurse | 617 Columbus St, Ottawa, IL 61350 | 2018-05-15 |
1881071272 | Ashlee Herbold | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1718 N 2525th Rd, Ottawa, IL 61350 | 2015-05-05 |
1053702365 | Wanda Rohl | Social Worker | 3735 E 1453 Rd, Ottawa, IL 61350 | 2015-02-09 |
1538550868 | Erin Rose Boe | Physical Therapist | 2872 Columbus St, Unit 300, Ottawa, IL 61350 | 2015-02-09 |
1346572757 | Rebecca Samolitis | Counselor | 116 W Lafayette St, Suite 8, Ottawa, IL 61350 | 2010-02-10 |
1235383266 | Timothy I Miller O.d. P.C. | Optometrist | 107 E. Mckinley Rd., Ottawa, IL 61350 | 2008-11-04 |
1427204676 | Leo John Meagher | Counselor | 218 West Madison St, Ottawa, IL 61350 | 2008-08-07 |
1598938755 | Radiation Oncology of Northern Illinois LLC | Radiology | 1200 Starfire Dr, Ottawa, IL 61350 | 2008-04-09 |
1154538510 | Serenityonwheels, Inc. | Counselor | Serenity On Wheels, Inc. 630 Columbus Street, Ste # 214, Ottawa, IL 61350 | 2007-05-16 |
1205040904 | Dixie Devry | Occupational Therapist | 2532 Reynolds Manor, Ottawa, IL 61350 | 2007-05-10 |
Find all providers in zip 61350 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427204676 | Leo John Meagher | Counselor | 218 West Madison St, Ottawa, IL 61350 | 2008-08-07 |
1851418024 | John P Houlihan | Counselor | 747 E Etna Road, Ottawa, IL 61350 | 2007-03-23 |
1417060492 | Richard Francis Mangold | Counselor | 2912 E 14th Rd, Ottawa, IL 61350-9526 | 2006-08-16 |
1427526193 | Macayla Marie Gerdovich | Counselor | 643 W Main St, Ottawa, IL 61350-2717 | 2018-11-11 |
1134614340 | Nina Renee Miller | Counselor | 747 E Etna Rd, Ottawa, IL 61350-3777 | 2018-06-29 |
1003321290 | Kaitlyn Rinke | Counselor | 727 E Etna Rd, Ottawa, IL 61350-1040 | 2017-12-10 |
1265959860 | Aaron Barajas | Counselor | 424 W Madison St, Ottawa, IL 61350-2833 | 2017-08-24 |
1427597491 | Brie Vonruden | Counselor | 900 Hitt St, Ottawa, IL 61350-5109 | 2017-02-23 |
1750662508 | Diana Marie Carter | Counselor | 727 E Etna Rd, Ottawa, IL 61350-1040 | 2011-09-07 |
1386935658 | Emily Anne Huth | Counselor | 601 State Route 224, Ottawa, OH 45875-9239 | 2011-04-21 |
Find all providers in OTTAWA |
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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.