DAMARIS AVILES (NPI# 1073175774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073175774 |
| Entity Type | Individual |
| Full Name | DAMARIS AVILES |
| Practice Address |
3010 Grand Ave Waukegan IL 60085-2321 |
| Practice Telephone | 8473778296 |
| Practice Fax Number | 8479845689 |
| Mailing Telephone | 8473778296 |
| Mailing Fax Number | 8479845689 |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2019-07-02 |
| 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 |
3010 GRAND AVE |
| City | WAUKEGAN |
| State | IL |
| Zip Code | 60085-2321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528088895 | Georgette Bloom | Counselor | 3010 Grand Ave, Floor 1, Waukegan, IL 60085-2321 | 2006-07-20 |
| 1144837758 | Danielle Candelario | Pharmacist | 3010 Grand Ave, Waukegan, IL 60085-2321 | 2020-09-28 |
| 1740895481 | Ashley Perez | Counselor | 3010 Grand Ave, Waukegan, IL 60085-2321 | 2020-09-10 |
| 1528672839 | Haley Juliet Rainwater | Counselor | 3010 Grand Ave, Waukegan, IL 60085-2321 | 2020-09-03 |
| 1477165090 | David Quintel Howery | Counselor | 3010 Grand Ave, Waukegan, IL 60085-2321 | 2020-08-17 |
| 1558994228 | Alma Bertha Griffin | Registered Nurse | 3010 Grand Ave, Waukegan, IL 60085-2321 | 2020-02-20 |
| 1427694413 | Shahzadhi Nyakhar | Community Health Worker | 3010 Grand Ave, Waukegan, IL 60085-2321 | 2019-11-25 |
| 1184269623 | Jennifer Marie Winesburg | Registered Nurse | 3010 Grand Ave, Waukegan, IL 60085-2321 | 2019-11-07 |
| 1225672157 | Tina Arnold | Counselor | 3010 Grand Ave, Waukegan, IL 60085-2321 | 2019-11-04 |
| 1003465592 | Sindy Lorena Guerra | Counselor | 3010 Grand Ave, Waukegan, IL 60085-2321 | 2019-09-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285285189 | Allison Rose Matuszewski | Speech-Language Pathologist | Robbie M. Lightfoot, 1721 N Mcaree Rd, Waukegan, IL 60085 | 2019-09-23 |
| 1164985602 | Kristin Kaprak | Speech-Language Pathologist | Thomas Jefferson Middle School, 600 S. Lewis, Waukegan, IL 60085 | 2019-04-11 |
| 1861972317 | Mitchum Smith | Student in an Organized Health Care Education/Training Program | 2025 Washington Street, Waukegan, IL 60085 | 2018-08-15 |
| 1447702998 | Rachel Martinez | Registered Nurse | 3002 Grand Ave., Waukegan, IL 60085 | 2016-11-01 |
| 1831649250 | Kenneth Caples | Specialist/Technologist | 211 S County St, Waukegan, IL 60085 | 2016-10-10 |
| 1033666490 | Catholic Charities of The Archdiocese of Chicago | Community/Behavioral Health | 671 S. Lewis Ave., Waukegan, IL 60085 | 2016-09-02 |
| 1285007757 | Michael Moore | Counselor | 1113 Greenwood Ave, Waukegan, IL 60085 | 2015-11-05 |
| 1740656503 | Emperatriz Guerra | Counselor | 329 N. Genesee Street, Waukegan, IL 60085 | 2015-08-17 |
| 1992189880 | County of Lake | Clinic/Center | 540 S. Mcalister Ave., Waukegan, IL 60085 | 2015-07-10 |
| 1922406354 | Ebele Okonkwor | Nurse Anesthetist, Certified Registered | 1324 N. Sheridan, Waukegan, IL 60085 | 2014-12-17 |
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| 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 |
|---|---|---|---|---|
| 1649643446 | Franco Flores | Counselor | 1113 W Greenwood Avenue, Waukegan, IL 60085-8332 | 2015-11-03 |
| 1669071833 | Erica Slattery | Counselor | 671 S Lewis Ave, Waukegan, IL 60085-6101 | 2020-10-20 |
| 1588270656 | Alona Diane Miller | Counselor | 2025 Washington St, Waukegan, IL 60085-5131 | 2020-09-23 |
| 1740895481 | Ashley Perez | Counselor | 3010 Grand Ave, Waukegan, IL 60085-2321 | 2020-09-10 |
| 1528672839 | Haley Juliet Rainwater | Counselor | 3010 Grand Ave, Waukegan, IL 60085-2321 | 2020-09-03 |
| 1225663230 | Daisy Stephanie Zuluaga | Counselor | 3002 Grand Ave, Waukegan, IL 60085-2321 | 2020-03-10 |
| 1003465592 | Sindy Lorena Guerra | Counselor | 3010 Grand Ave, Waukegan, IL 60085-2321 | 2019-09-06 |
| 1467008474 | Alexandra Noelle Weidner | Counselor | 3010 Grand Ave, Waukegan, IL 60085-2321 | 2019-08-15 |
| 1881253896 | Jazmin Sanchez | Counselor | 3010 Grand Ave, Waukegan, IL 60085-2321 | 2019-06-12 |
| 1942763354 | Palmer Jones Mccluskey | Counselor | 671 S Lewis Ave, Waukegan, IL 60085-6101 | 2019-04-11 |
| Find all providers in WAUKEGAN | ||||
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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.