EARL EVANGELISTA (NPI# 1053731661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053731661 |
| Entity Type | Individual |
| Full Name | EARL EVANGELISTA |
| Credential | MA |
| Practice Address |
1140 N Mclean Blvd Ste I Elgin IL 60123-1782 |
| Practice Telephone | 8476953680 |
| Mailing Telephone | 8476953680 |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2014-04-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
1140 N MCLEAN BLVD STE I |
| City | ELGIN |
| State | IL |
| Zip Code | 60123-1782 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699028852 | Amanda Ella Rankin | Social Worker | 1140 N Mclean Blvd Ste I, Elgin, IL 60123-1782 | 2012-10-24 |
| 1215543442 | Norma Irene Zepeda | Social Worker | 1140 N Mclean Blvd Ste I, Elgin, IL 60123-1782 | 2020-09-22 |
| 1922610757 | Jennifer Trempala | Counselor | 1140 N Mclean Blvd Ste I, Elgin, IL 60123-1782 | 2020-08-22 |
| 1477181501 | Kirsten Reyes | Social Worker | 1140 N Mclean Blvd Ste I, Elgin, IL 60123-1782 | 2020-04-01 |
| 1033740568 | Christina Grace Dewar | Social Worker | 1140 N Mclean Blvd Ste I, Elgin, IL 60123-1782 | 2020-02-03 |
| 1689225542 | Andrew J Haas | Social Worker | 1140 N Mclean Blvd Ste I, Elgin, IL 60123-1782 | 2019-09-23 |
| 1427609593 | Carol Villanueva-perez | Counselor | 1140 N Mclean Blvd Ste I, Elgin, IL 60123-1782 | 2019-09-20 |
| 1750930624 | Allison Cherkinian | Behavior Technician | 1140 N Mclean Blvd Ste I, Elgin, IL 60123-1782 | 2019-09-04 |
| 1346899218 | Jennifer Ohlinger | Case Manager/Care Coordinator | 1140 N Mclean Blvd Ste I, Elgin, IL 60123-1782 | 2019-09-04 |
| 1194374033 | Kinjal Thakkar | Counselor | 1140 N Mclean Blvd Ste I, Elgin, IL 60123-1782 | 2019-09-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629625736 | Edna Lopez | Social Worker | 1140 N. Mclean Blvd #1, Elgin, IL 60123 | 2019-08-22 |
| 1003472259 | Katelyn Lee O'connell | Counselor | 695 S. Sate Street, Elgin, IL 60123 | 2019-05-14 |
| 1598235152 | Katie Elizabeth Dwyer | Counselor | 695 S. State Street, Elgin, IL 60123 | 2018-11-27 |
| 1174002778 | James M Accetta | Counselor | 52 Surry Drive, Elgin, IL 60123 | 2018-08-14 |
| 1770086175 | Griswold Home Care | Adult Companion | 707 A Davis Road, Suite 203, Elgin, IL 60123 | 2018-03-12 |
| 1003315706 | Danielle Bryant | Nurse Practitioner | 745 Fletcher Dr Ste 101, Elgin, IL 60123 | 2018-02-08 |
| 1912421470 | Deborah Foshager | Counselor | 680 Shenandoah Trail, Elgin, IL 60123 | 2017-07-26 |
| 1760903470 | Miguel Camargo | Specialist/Technologist | 12 N Aldine St, Elgin, IL 60123 | 2017-07-03 |
| 1134658594 | David Sommer | Counselor | 1460 Umbdenstock Rd, Elgin, IL 60123 | 2017-06-08 |
| 1649719618 | Faheem Unisa Syed | Clinical Nurse Specialist | 1990 Larkin Ave., Elgin, IL 60123 | 2017-02-23 |
| Find all providers in zip 60123 | ||||
| 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 |
|---|---|---|---|---|
| 1144834458 | Monica Lopez | Counselor | 101 Fisher St, Elgin, TX 78621-3501 | 2020-09-03 |
| 1447769120 | Laura Renee Shaw | Counselor | 409 Jaycee Dr, Elgin, OK 73538-5020 | 2017-09-25 |
| 1770008286 | Cynthia Haynes | Counselor | 332 Comstock Dr, Elgin, IL 60124-3827 | 2017-08-04 |
| 1649687617 | Bannon Rowland | Counselor | 506 H, Elgin, OK 73538-0555 | 2014-07-22 |
| 1417230830 | Melinda Turner | Counselor | 678 Shady Oaks Ct, Elgin, IL 60120-4326 | 2011-09-21 |
| 1821042730 | Carolyn E. Seals | Counselor | Swcmhc/hill Residential Crcf, 1529 Dixon Rd., Elgin, SC 29045 | 2006-05-22 |
| 1598717183 | Eugene Brogdon | Counselor | Swcmhc/hill House Crcf, 1529 Dixon Rd., Elgin, SC 29045 | 2006-05-16 |
| 1922610757 | Jennifer Trempala | Counselor | 1140 N Mclean Blvd Ste I, Elgin, IL 60123-1782 | 2020-08-22 |
| 1548891542 | Steven Scherschel | Counselor | 164 Division St Ste 502, Elgin, IL 60120-5531 | 2020-01-28 |
| 1437707262 | Laura Ramirez | Counselor | 1140 N Mclean Blvd, Elgin, IL 60123-1782 | 2019-08-26 |
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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.