CECELIA BLUE (NPI# 1912217845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912217845 |
| Entity Type | Individual |
| Full Name | CECELIA BLUE |
| Practice Address |
500 Spring Rd 275 Ingleside IL 60041-0275 |
| Mailing Address |
Po Box 20247 Albuquerque NM 87154-0247 |
| Practice Telephone | 3123392221 |
| Mailing Telephone | 3123392221 |
| Enumeration Date | 2010-10-13 |
| Last Update Date | 2011-03-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
500 SPRING RD 275 |
| City | INGLESIDE |
| State | IL |
| Zip Code | 60041-0275 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144749151 | Derrick Drew Pousson | Chiropractor | 36485 N Maple Ave, Ingleside, IL 60041 | 2017-09-12 |
| 1699216507 | Patrice Ann Piechur | Registered Nurse | 404 Madison Ave., Ingleside, IL 60041 | 2017-03-10 |
| 1679641492 | Chiro One Wellness Centers of Crystal Lake LLC | Chiropractor | 435 Angela Lane, Unit 19, Crystal Lake, IL 60041 | 2006-12-01 |
| 1609973049 | Jennifer Ann O'grady | Speech-Language Pathologist | 35050 N. Frontage Rd., Ingleside, IL 60041 | 2006-09-20 |
| 1770695173 | Forrest Frank Kogut | Chiropractor | 601 S Route 59, Ingleside, IL 60041 | 2006-08-31 |
| 1447236229 | William C Dam | Internal Medicine | 214 Washington St, Ingleside, IL 60041 | 2005-12-22 |
| 1144461278 | Fox Lake Fire Protection District | Ambulance | 306 Washington St, Ingleside, IL 60041-0000 | 2009-03-19 |
| 1174759294 | Fox Lake Fire Protection District | Ambulance | 306 Washington, #237, Ingleside, IL 60041-0237 | 2009-06-03 |
| 1124568720 | Maria Teresa Queypo | Registered Nurse | 604 Rollins Rd Unit 355, Ingleside, IL 60041-4401 | 2017-03-01 |
| 1104133552 | Caryn Anne Gehrke | Social Worker | 36859 N Stanton Point Rd, Ingleside, IL 60041-8411 | 2010-09-07 |
| Find all providers in zip 60041 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154922813 | Valerie Ann Taylor | Counselor | 1230 N Washington Ave, Batavia, IL 60510-1369 | 2020-11-07 |
| 1073114088 | Astrid Larsen | Counselor | 2317 Timberline Trl, Woodstock, IL 60098-8759 | 2020-11-05 |
| 1932708690 | Mucci World Management Inc,. | Counselor | 7913 171st St, Tinley Park, IL 60477-3244 | 2020-10-22 |
| 1679172373 | Alexander Czop | Counselor | 1250 Chestnut Ave, Wilmette, IL 60091-1616 | 2020-10-22 |
| 1427656859 | Mica Coleman | Counselor | 5800 Allemong Dr, Matteson, IL 60443-1108 | 2020-10-16 |
| 1386242873 | Kelly Mann | Counselor | 301 S Henry St, Ashkum, IL 60911-7119 | 2020-10-15 |
| 1245838549 | Erika Leigh Heatley | Counselor | 32w755 Albert Dr, East Dundee, IL 60118-3202 | 2020-10-09 |
| 1851999080 | Linda D Odaniel | Counselor | 12904 Division St Apt 2a, Blue Island, IL 60406-3420 | 2020-10-09 |
| 1366058075 | Allyssa Rose Bertram | Counselor | 4055 W Peterson Ave Ste 202, Chicago, IL 60646-6183 | 2020-09-17 |
| 1952914707 | Tara Ufer | Counselor | 400 W Deming Pl Apt 9g, Chicago, IL 60614-1702 | 2020-08-30 |
| Find all providers with the same taxonomy | ||||
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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.