| Keri Powell Therapy Inc | |
|
701 Devonshire Dr Suite B1 Champaign IL 61820-7337 | |
| (217) 352-0200 | |
| (217) 352-0200 |
| Full Name | Keri Powell Therapy Inc |
|---|---|
| Speciality | Social Worker |
| Location | 701 Devonshire Dr, Champaign, Illinois |
| Authorized Official Name and Position | Keri B Powell (SOCIAL WORKER) |
| Authorized Official Contact | 2173520200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Keri Powell Therapy Inc 701 Devonshire Dr Suite B1 Champaign IL 61820-7337 Ph: (217) 352-0200 | Keri Powell Therapy Inc 701 Devonshire Dr Suite B1 Champaign IL 61820-7337 Ph: (217) 352-0200 |
| NPI Number | 1174751663 |
|---|---|
| Provider Enumeration Date | 06/23/2009 |
| Last Update Date | 07/17/2012 |
| Medicare PECOS PAC ID | 9638335532 |
|---|---|
| Medicare Enrollment ID | O20120720000534 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174751663 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149013139 (Illinois) | Primary |
| Provider Name | Keri Beth Powell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154587525 PECOS PAC ID: 8729137492 Enrollment ID: I20090529000135 |
| Provider Name | Sue T Wittman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740516749 PECOS PAC ID: 4880737766 Enrollment ID: I20100201000083 |
| Provider Name | Kimberly L Harden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811021942 PECOS PAC ID: 3072747815 Enrollment ID: I20131009001225 |
| Provider Name | Kelly Fein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285937888 PECOS PAC ID: 7517260714 Enrollment ID: I20160121002199 |
| Provider Name | Jody L Janosik |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891185591 PECOS PAC ID: 6204133564 Enrollment ID: I20160331000940 |
| Provider Name | Kevin Shepherd |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962872739 PECOS PAC ID: 7315236874 Enrollment ID: I20160523002134 |
| Provider Name | Katherine A Hensold |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659508042 PECOS PAC ID: 8325329568 Enrollment ID: I20170103000278 |
| Provider Name | Trisha N Nelson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134472608 PECOS PAC ID: 6901189646 Enrollment ID: I20170203001147 |
| Provider Name | Susan Cupka Head |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811499924 PECOS PAC ID: 3375891955 Enrollment ID: I20180731000563 |
| Provider Name | Ronald R Sellers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336606110 PECOS PAC ID: 1052654852 Enrollment ID: I20190520000109 |
| Provider Name | Cymi Lynn Nappe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366597999 PECOS PAC ID: 2365785094 Enrollment ID: I20190522000110 |
| Provider Name | Tasha Howard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639735145 PECOS PAC ID: 4284977703 Enrollment ID: I20190523001564 |
| Provider Name | Jessica L Mcclellan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487209359 PECOS PAC ID: 9234467051 Enrollment ID: I20190819000101 |
| Provider Name | Ashley Lucas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710549688 PECOS PAC ID: 2062839178 Enrollment ID: I20200902003325 |
| Provider Name | Shelby Brewer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336677749 PECOS PAC ID: 4587082771 Enrollment ID: I20200921002033 |
| Provider Name | Matthew Kenneth Rogers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922606235 PECOS PAC ID: 5294145223 Enrollment ID: I20201103002155 |
| Provider Name | Natasha Nichole Nuss |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154627172 PECOS PAC ID: 3678985512 Enrollment ID: I20201217000057 |
| Provider Name | Barbara Myers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174058044 PECOS PAC ID: 7315353604 Enrollment ID: I20210311000806 |
| Provider Name | Anna Katherine Asplund |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922664721 PECOS PAC ID: 6103234091 Enrollment ID: I20210414000073 |
| Provider Name | Logan Lauritzen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104406164 PECOS PAC ID: 8527476142 Enrollment ID: I20210421000517 |
| Provider Name | Kristin Pasley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174288369 PECOS PAC ID: 2769871581 Enrollment ID: I20211117001970 |
| Provider Name | Kimberly Baright |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285395178 PECOS PAC ID: 9335531334 Enrollment ID: I20220125002472 |
| Provider Name | Carolyn Nicole Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982890562 PECOS PAC ID: 9537554399 Enrollment ID: I20220315001768 |
| Provider Name | Maria Gorecki Nowak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538656723 PECOS PAC ID: 8820476476 Enrollment ID: I20220609002274 |
| Provider Name | Gabriele D Cooper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912638305 PECOS PAC ID: 8224418504 Enrollment ID: I20220705000235 |
| Provider Name | Kacie Waterman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174258859 PECOS PAC ID: 1951783240 Enrollment ID: I20220803001577 |
| Provider Name | Brandon Michael Carson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922733435 PECOS PAC ID: 8022490911 Enrollment ID: I20220809003631 |
| Provider Name | Araceli Carbajal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700503380 PECOS PAC ID: 7618344524 Enrollment ID: I20221107001642 |
| Provider Name | Kristen Speagle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952809741 PECOS PAC ID: 4880062355 Enrollment ID: I20221115002024 |
| Provider Name | Mina Lee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164139515 PECOS PAC ID: 5799153631 Enrollment ID: I20221123002705 |
| Provider Name | Brandon Aguiar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477266708 PECOS PAC ID: 4486025889 Enrollment ID: I20230123001432 |
| Provider Name | Sandra Shannon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790473676 PECOS PAC ID: 6608232582 Enrollment ID: I20230518002614 |
| Provider Name | Caitlin Schamer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205519568 PECOS PAC ID: 8820451586 Enrollment ID: I20230828003716 |
| Provider Name | Mary Jane Steiner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316723034 PECOS PAC ID: 9436503539 Enrollment ID: I20230922002494 |
| Provider Name | Karen S Jones |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861626186 PECOS PAC ID: 4880044098 Enrollment ID: I20240102000114 |
| Provider Name | James Wachtel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811507684 PECOS PAC ID: 9133579345 Enrollment ID: I20240102000155 |
| Provider Name | Jennifer Mcnamer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679172258 PECOS PAC ID: 2668823444 Enrollment ID: I20240105001099 |
| Provider Name | Shelli Jo Billingsley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982488813 PECOS PAC ID: 3779934450 Enrollment ID: I20240106000533 |
| Provider Name | Kimberly Kendall |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437834371 PECOS PAC ID: 0840641528 Enrollment ID: I20240106000585 |
| Provider Name | Jennifer Duenas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649990573 PECOS PAC ID: 7012368350 Enrollment ID: I20240110004755 |
| Provider Name | Natasha J Shadden |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578122396 PECOS PAC ID: 3678924966 Enrollment ID: I20240111001065 |
| Provider Name | Denene Young |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396412706 PECOS PAC ID: 7719330695 Enrollment ID: I20240126001988 |
| Provider Name | Caroline Christian |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700305810 PECOS PAC ID: 0840643730 Enrollment ID: I20240126002590 |
| Provider Name | Joy Henderson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710514971 PECOS PAC ID: 8820441736 Enrollment ID: I20240126003137 |
| Provider Name | Lynda Alper |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629434907 PECOS PAC ID: 0345693131 Enrollment ID: I20240129001233 |
| Provider Name | Diane Alexander |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770119281 PECOS PAC ID: 6204289077 Enrollment ID: I20240129002037 |
| Provider Name | Kathleen Wirth-couch |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508224825 PECOS PAC ID: 3375996192 Enrollment ID: I20240129003421 |
| Provider Name | Olivia Gray |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285170134 PECOS PAC ID: 5890148514 Enrollment ID: I20240130001587 |
| Provider Name | Keith Brooks |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467715029 PECOS PAC ID: 5890148274 Enrollment ID: I20240201002594 |
| Provider Name | Erin Sturm |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962928952 PECOS PAC ID: 8921441296 Enrollment ID: I20240205000777 |
| Provider Name | Darin Rock |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154545820 PECOS PAC ID: 2365885100 Enrollment ID: I20240208001123 |
| Provider Name | Ray Turner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730747510 PECOS PAC ID: 3971947995 Enrollment ID: I20240219000942 |
| Provider Name | Wendy Graham |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588208441 PECOS PAC ID: 2163866955 Enrollment ID: I20240220003869 |
| Provider Name | Ariel Warner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952166902 PECOS PAC ID: 3274978887 Enrollment ID: I20240305000806 |
| Provider Name | Victoria Lynn Kearney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609520865 PECOS PAC ID: 7113365115 Enrollment ID: I20240410001635 |
| Provider Name | Caitlyn Oliger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609628460 PECOS PAC ID: 7416396924 Enrollment ID: I20240417001192 |
| Provider Name | Christopher Todd Lighty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780395053 PECOS PAC ID: 7618317512 Enrollment ID: I20240425001438 |
| Provider Name | Abby Fisher |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437880408 PECOS PAC ID: 0345681052 Enrollment ID: I20240513002362 |
| Provider Name | Gregory James Kulik |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972098408 PECOS PAC ID: 8921540071 Enrollment ID: I20240605000887 |
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