EASTER SEALS - UCP (NPI# 1083983738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083983738 |
| Entity Type | Organization |
| Organization Name | EASTER SEALS - UCP |
| Practice Address |
507 E Armstrong Ave Peoria IL 61603-3201 |
| Practice Telephone | 3096867755 |
| Practice Fax Number | 3096867722 |
| Mailing Telephone | 3096867755 |
| Mailing Fax Number | 3096867722 |
| Enumeration Date | 2011-12-27 |
| Last Update Date | 2019-09-19 |
| Authorized Official Name | MR. SAMUEL MARTIN (VICE PRESIDENT OF OPERATIONS) |
| Authorized Official Telephone | 3096861177 |
| Authorized Official Credential | MBA, SHRM-CP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467434795 | Easter Seals - Ucp | Voluntary or Charitable | 507 E Armstrong Ave, Peoria, IL 61603-3201 | 2005-11-14 |
| Street Address |
507 E ARMSTRONG AVE |
| City | PEORIA |
| State | IL |
| Zip Code | 61603-3201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467434795 | Easter Seals - Ucp | Voluntary or Charitable | 507 E Armstrong Ave, Peoria, IL 61603-3201 | 2005-11-14 |
| 1295347201 | Emily Kathleen Smith | Speech-Language Pathologist | 507 E Armstrong Ave, Peoria, IL 61603-3201 | 2020-08-20 |
| 1215561089 | Anne Kirchgessner | Nurse Practitioner | 507 E Armstrong Ave, Peoria, IL 61603-3201 | 2020-03-02 |
| 1568002202 | Megan Mcnamara | Behavioral Analyst | 507 E Armstrong Ave, Peoria, IL 61603-3201 | 2020-01-10 |
| 1184268286 | Kaitlyn Schlink | Occupational Therapist | 507 E Armstrong Ave, Peoria, IL 61603-3201 | 2019-10-31 |
| 1134770399 | Melissa Kay Reid | Behavioral Analyst | 507 E Armstrong Ave, Peoria, IL 61603-3201 | 2019-09-27 |
| 1871142703 | Molly Cull | Speech-Language Pathologist | 507 E Armstrong Ave, Peoria, IL 61603 | 2019-09-04 |
| 1053964791 | Taylor Dayne Walden | Speech-Language Pathologist | 507 E Armstrong Ave, Peoria, IL 61603-3201 | 2019-07-22 |
| 1922664481 | Marie Javana Nelson | Developmental Therapist | 507 E Armstrong Ave, Peoria, IL 61603-3201 | 2019-05-10 |
| 1295290930 | Cally Lynn Webb | Speech-Language Pathologist | 507 E Armstrong Ave, Peoria, IL 61603-3201 | 2019-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598362980 | Courtney Klein | Nurse Practitioner | 1306 N. Berkley Ave, Peoria, IL 61603 | 2020-10-08 |
| 1114588217 | Kong Xing Wang | Dentist | 320 East Armstrong Ave, Peoria, IL 61603 | 2019-06-28 |
| 1073015319 | Sara Kristine Rosenbery | Nurse Practitioner | 515 Ne Glen Oak Ave Ste 202, Peoria, IL 61603 | 2018-03-02 |
| 1861860058 | Jennifer Michelle Kelsey | Clinical Nurse Specialist | 420 Ne Glen Oak Avenue, Suite 401, Peoria, IL 61603 | 2015-09-04 |
| 1467859793 | Bonnie Lansing | Counselor | 617 N Gendale Avenue, Behavioral Health Adult Program, Peoria, IL 61603 | 2014-12-02 |
| 1639597172 | Jael K. Mahasi | Counselor | 1800 Ne Perry Avenue, Peoria, IL 61603 | 2014-04-02 |
| 1992054829 | Justin S Ferragut | Radiology | 530 Northeast Glen Oak Avenue, Peoria, IL 61603 | 2012-09-06 |
| 1780952994 | Syed Muhammad Tayyab | Internal Medicine | 828 Ne Glen Oak Ave Apt No208a, Peoria, IL 61603 | 2011-12-02 |
| 1528389079 | St. Francis Medical Center | General Acute Care Hospital | 530 N E Glen Oak Ave, Peoria, IL 61603 | 2010-06-18 |
| 1780810648 | Children's Home Association of Illinois | Voluntary or Charitable | 400 E. Frye, Peoria, IL 61603 | 2009-06-05 |
| Find all providers in zip 61603 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
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| 1932700929 | True Wellness Support Services | Community/Behavioral Health | 8936 W Villa Rita Dr, Peoria, AZ 85382-3021 | 2020-11-05 |
| 1881209583 | Alpine Villa Group LLC | Community/Behavioral Health | 8845 W Potter Dr, Peoria, AZ 85382-6428 | 2020-09-10 |
| 1013556687 | Greystone House 2, LLC | Community/Behavioral Health | 27490 N Higuera Dr, Peoria, AZ 85383-4859 | 2019-12-31 |
| 1659921427 | Terpro LLC | Community/Behavioral Health | 8175 W Ludlow Dr Unit 222, Peoria, AZ 85381-4796 | 2019-09-13 |
| 1528614807 | Sage Counseling, Inc. | Community/Behavioral Health | 8805 W Union Hills Dr Ste 100, Peoria, AZ 85382-8153 | 2019-08-13 |
| 1336607613 | Angel Kids Academy LLC | Community/Behavioral Health | 8910 W Monroe St, Peoria, AZ 85345-6440 | 2019-03-06 |
| 1699269647 | Radu Marinescu | Community/Behavioral Health | 9140 W Hearn Rd, Peoria, AZ 85381-3790 | 2018-06-21 |
| 1740787753 | Pathway Youth and Family Services LLC | Community/Behavioral Health | 9794 W Peoria Ave Ste 13, Peoria, AZ 85345-6138 | 2018-04-07 |
| 1396262044 | Az Behavioral Health Services LLC | Community/Behavioral Health | 9791 W Butler Dr, Peoria, AZ 85345-3725 | 2017-08-24 |
| 1992163380 | Treatment Alternatives for Safe Communities | Community/Behavioral Health | 108 Sw Madison Ave, Peoria, IL 61602-1107 | 2016-02-01 |
| Find all providers in PEORIA | ||||
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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.