JUSTIN LUPA (NPI# 1093322422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093322422 |
| Entity Type | Individual |
| Full Name | JUSTIN LUPA |
| Practice Address |
2400 Hawks Dr Batavia IL 60510-3801 |
| Practice Telephone | 6309664078 |
| Mailing Telephone | 6309664078 |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2020-09-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
2400 HAWKS DR |
| City | BATAVIA |
| State | IL |
| Zip Code | 60510-3801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902464274 | Lauren Nicole Nape | Social Worker | 2400 Hawks Dr, Batavia, IL 60510-3801 | 2019-06-03 |
| 1114525185 | Stefanie Lorenz | Counselor | 2400 Hawks Dr, Batavia, IL 60510-3801 | 2020-10-13 |
| 1508484411 | Ayarri Moore | Social Worker | 2400 Hawks Dr, Batavia, IL 60510-3801 | 2020-07-07 |
| 1821613159 | Hannah Lanasa | Counselor | 2400 Hawks Dr, Batavia, IL 60510-3801 | 2020-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326523101 | Maria Witte | Specialist/Technologist | 1316 Cherry Dr, Batavia, IL 60510 | 2018-09-27 |
| 1740768902 | Anna Cannone | Speech-Language Pathologist | 1501 S Raddant Rd, Batavia, IL 60510 | 2018-07-31 |
| 1770071565 | Amber August-gilio | Registered Nurse | 1116 Schiedler Dr., Batavia, IL 60510 | 2018-04-26 |
| 1356865323 | Emily Shiffler | Specialist/Technologist | 1345 Clybourne St, Batavia, IL 60510 | 2017-08-01 |
| 1720537657 | Go Kid Go Therapy Services, LLC | Physical Therapist | 131 Flinn Street, Suite A, Batavia, IL 60510 | 2016-10-04 |
| 1992122337 | Pacer Dental P.C. | Clinic/Center | 853 North Randall Road, Batavia, IL 60510 | 2014-03-24 |
| 1396176988 | Jody Marie Kanikula | Social Worker | 439 Elizabeth St, Batavia, IL 60510 | 2013-12-06 |
| 1295087765 | Therese Marie White | Social Worker | 37 W 950 Heaton Drive, Batavia, IL 60510 | 2012-10-09 |
| 1619252491 | Debra Joy Herron | Massage Therapist | 462 Manchester Ave., Batavia, IL 60510 | 2011-10-12 |
| 1861780363 | Mary Lather | Speech-Language Pathologist | 1260 Averill Dr, Batavia, IL 60510 | 2011-07-18 |
| Find all providers in zip 60510 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154713956 | Jodette Kwasniak-wheat | Counselor | 1116 Buffalo Trl, Batavia, IL 60510-8351 | 2015-03-03 |
| 1083059331 | James Robert Walls IIi | Counselor | 222 Richmond Avenue, Building 3, Room 203, Batavia, NY 14020-1227 | 2013-04-30 |
| 1427212588 | Janice Ringwald Ringwald Johansson | Counselor | 30 S Shumway Ave Ste 1, Batavia, IL 60510-2499 | 2008-07-17 |
| 1679732168 | Matthew Goles | Counselor | 12 W Wilson St, Suite A, Batavia, IL 60510-2891 | 2008-06-09 |
| 1962669424 | Kristen Mackenzie Unterberg | Counselor | 926 Towne Ave, Batavia, IL 60510-3547 | 2008-05-21 |
| 1720145048 | Augusta Anne Sobczak-welsh | Counselor | Gcmhs 5130 East Main St Rd, Suite #2, Batavia, NY 14020-3496 | 2007-01-03 |
| 1811064108 | Pamela Susan Gefell | Counselor | 5130 E Main Street Rd, Suite #2, Batavia, NY 14020-3433 | 2006-11-29 |
| 1326135393 | Karen Sue O'brien | Counselor | 528 S Batavia Ave, Batavia, IL 60510-2921 | 2006-10-09 |
| 1861584245 | Robert P Riccobono | Counselor | 206 Trumbull Pkwy, Batavia, NY 14020-1708 | 2006-09-29 |
| 1770675662 | Debra Elsman | Counselor | 201 Houston St Ste 302, Batavia, IL 60510-1980 | 2006-09-28 |
| Find all providers in BATAVIA | ||||
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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.