MRS. CAROL A FETZNER (NPI# 1871626481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871626481 |
| Entity Type | Individual |
| Full Name | MRS. CAROL A FETZNER |
| Credential | LCPC |
| Practice Address |
645 Mchenry Ave Woodstock IL 60098-2922 |
| Practice Telephone | 8153371234 |
| Practice Fax Number | 8153375653 |
| Mailing Telephone | 8153371234 |
| Mailing Fax Number | 8153375653 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
IL | Behavioral Health & Social Service Providers |
| Street Address |
645 MCHENRY AVE |
| City | WOODSTOCK |
| State | IL |
| Zip Code | 60098-2922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225028400 | Regina Leeann Lumpkins | Social Worker | 645 Mchenry Ave, Woodstock, IL 60098-2922 | 2005-10-27 |
| 1386250991 | Northwest Treatment Associates Inc | Social Worker | 645 Mchenry Ave, Woodstock, IL 60098-2922 | 2020-09-18 |
| 1790399319 | Northwest Treatment Associates | Counselor | 645 Mchenry Ave, Woodstock, IL 60098-2922 | 2020-09-01 |
| 1063724771 | Creative Alternatives for Psychological Growth LLC | Community/Behavioral Health | 645 Mchenry Ave, Woodstock, IL 60098-2922 | 2010-07-10 |
| 1497975494 | Susan Ann Klouda | Social Worker | 645 Mchenry Ave, Woodstock, IL 60098-2922 | 2007-05-01 |
| 1730201054 | Cornerstone Care, Inc. | Counselor | 645 Mchenry Ave, Woodstock, IL 60098-2922 | 2007-04-06 |
| 1467585075 | Northwest Treatment Associates, Inc. | Counselor | 645 Mchenry Ave, Woodstock, IL 60098-2922 | 2007-03-13 |
| 1568591782 | Creative Alternatives for Psychological Growth | Psychologist | 645 Mchenry Ave, Woodstock, IL 60098-2922 | 2007-03-05 |
| 1871642934 | Bonnie E. Marable | Psychologist | 645 Mchenry Ave, Woodstock, IL 60098-2922 | 2007-01-09 |
| 1821155979 | Alan Dale Belcher | Counselor | 645 Mchenry Ave, Woodstock, IL 60098-2922 | 2007-01-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083197453 | Abb Dental Group LLC | Dentist | 11585 Us 14, Woodstock, IL 60098 | 2018-09-12 |
| 1396256467 | Gezelle Adams | Social Worker | 1200 Walden Oaks Dr, Woodstock, IL 60098 | 2017-10-17 |
| 1861910721 | Letitia Susan Edgell | Technician | 503 Lawndale Ave., Woodstock, IL 60098 | 2017-08-31 |
| 1104355460 | Jessica Evertsen | Doula | 435 Laurel Ave, Woodstock, IL 60098 | 2017-06-08 |
| 1871026724 | Bo Yeon Bartilotta | Dentist | 11585 Us-14, Woodstock, IL 60098 | 2017-04-07 |
| 1619337185 | Julia Karibian | Community Health Worker | 2983 Strauss Court, Woodstock, IL 60098 | 2016-02-26 |
| 1407249170 | Julia Bonti | Counselor | 13318 Hickory Ln, Woodstock, IL 60098 | 2015-03-05 |
| 1427485580 | Sara E Smedinghoff | Physical Therapy Assistant | 708 Washington Street, Woodstock, IL 60098 | 2013-10-03 |
| 1669721783 | Robert Eugene Haraden | Dentist | 651 S. Eastwood Dr, Woodstock, IL 60098 | 2012-09-05 |
| 1831447440 | Carla Peltier | Social Worker | 101 South Jefferson Street, Woodstock, IL 60098 | 2012-08-29 |
| Find all providers in zip 60098 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134736788 | Lana Mcnair | Counselor | 970 Woodstock Pkwy Ste 210, Woodstock, GA 30188-4869 | 2020-09-28 |
| 1336755537 | Leslie Phillos Duckett | Counselor | 208 River Park North Dr, Woodstock, GA 30188-7834 | 2020-09-22 |
| 1871064758 | Nazila Aghazadeh | Counselor | 237 Colony Center Dr, Woodstock, GA 30188-4697 | 2018-12-17 |
| 1437638954 | Atlanta Counseling Insight, LLC | Counselor | 115 Piedmont Ln, Woodstock, GA 30189-7051 | 2018-08-07 |
| 1659878080 | Alexis K. Brown | Counselor | 3380 Trickum Rd., Bldg 700, Woodstock, GA 30188 | 2018-04-11 |
| 1821478009 | Georgia Counseling Center Inc | Counselor | 335 Parkway 575 Ste 301, Woodstock, GA 30188-6433 | 2015-06-03 |
| 1952781239 | Barry James Bouillion Jr. | Counselor | 3380 Trickum Rd Bldg 700, Woodstock, GA 30188-3680 | 2015-06-02 |
| 1952790727 | Tiffanie Wigstrom Williams | Counselor | 3380 Trickum Rd., Building 1000, Suite 102, Woodstock, GA 30188 | 2015-01-16 |
| 1952710337 | Grounding Flight | Counselor | 136 Pioneer Dr, Woodstock, GA 30188-4522 | 2014-08-11 |
| 1790111631 | Richard Lee Mccoy | Counselor | 134 Cass St Ste 3, Woodstock, IL 60098-3208 | 2013-09-24 |
| Find all providers in WOODSTOCK | ||||
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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.