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MERISSA DAWN STATER
NPI 1124759030
Counselor in Rock Island, IL

Active since June 21, 2022
2701 17TH ST, ROCK ISLAND, IL 61201(309) 631-4044 Get Directions Write a Review

NPPES record last updated: June 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Merissa Dawn Stater NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MERISSA DAWN STATER (NPI 1124759030) is an individual counselor in Rock Island, Illinois and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1124759030
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMERISSA DAWN STATER
Location Address2701 17TH STRock Island, IL 61201-5351
Mailing Address2701 17th StRock Island, IL 61201-5351 · (563) 468-7679
Phone(309) 631-4044
Sole ProprietorNo
Enumeration DateJune 21, 2022
NPPES CertifiedJune 21, 2022
✔ NPI 1124759030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
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.
2701 17TH ST, Rock Island, IL 61201
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. QUANG TUNG NGUYEN M.D.
Internal Medicine
2701 17TH ST, HOSPITALIST PROGRAM
ROCK ISLAND, IL 61201
Rock Island County (309) 779-3100
DEEPTA SHANKAR ATRE STRAND M.D.
Emergency Medicine
2701 17TH ST
ROCK ISLAND, IL 61201
Rock Island County (309) 779-5000
DANIELLE JILLIAN WADDLE LMSW
Social Worker
2701 17TH ST
ROCK ISLAND, IL 61201
Rock Island County (309) 779-2031
ALEXIA SWIFT
Registered Nurse (Psychiatric/Mental Health)
2701 17TH ST
ROCK ISLAND, IL 61201
Rock Island County (309) 779-7500
SAMANTHA GOMAN
Counselor
2701 17TH ST
ROCK ISLAND, IL 61201
Rock Island County (309) 779-2031
MRS. KRISTINE KEAN RN
Registered Nurse (Psychiatric/Mental Health)
2701 17TH ST
ROCK ISLAND, IL 61201
Rock Island County (309) 779-2031
BRITTANY MICHELLE REDMOND
Hospitalist
2701 17TH ST
ROCK ISLAND, IL 61201
Rock Island County (309) 779-5000
IBRAHIM K TARAWNEH BA
Counselor (Mental Health)
2701 17TH ST
ROCK ISLAND, IL 61201
Rock Island County (309) 779-3006

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Merissa Stater's NPI number?

The NPI number for Merissa Stater is 1124759030. It was assigned to this individual provider in the NPPES registry on June 21, 2022.

Where is Merissa Stater located?

Merissa Stater practices at 2701 17th St, Rock Island, IL 61201. The listed phone number is (309) 631-4044.

What is Merissa Stater's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Merissa Stater was last updated on June 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.