MS. KATHLEEN M SHEA


Address: 417 W Madison St, Ottawa, IL 61350-2836
Phone: 8154318206

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
180.002890 IL Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
IL LCPC, CADC 1154538510 01

Other Providers KATHLEEN SHEA

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

Office Location

Street Address 417 W MADISON ST
City OTTAWA
State IL
Zip Code 61350-2836

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

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City OTTAWA
Zip Code 61350

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Dataset Information

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.

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