MRS. MICHELLE JENNIFER JOHANN (NPI# 1104017177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104017177 |
Entity Type | Individual |
Full Name | MRS. MICHELLE JENNIFER JOHANN |
Credential | LPC |
Practice Address |
5547 N Ravenswood Ave Chicago IL 60640-1125 |
Practice Telephone | 7737694313 |
Mailing Telephone | 7737694313 |
Enumeration Date | 2007-08-06 |
Last Update Date | 2007-08-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | IL | Behavioral Health & Social Service Providers |
Street Address |
5547 N RAVENSWOOD AVE |
City | CHICAGO |
State | IL |
Zip Code | 60640-1125 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336145853 | Victor C. Neumann Association | Case Management | 5547 N Ravenswood Ave, Chicago, IL 60640-1125 | 2005-06-21 |
1467940437 | Tyler Mueller | Counselor | 5547 N Ravenswood Ave, Chicago, IL 60640-1125 | 2018-04-25 |
1003361247 | Emma Macdougall | Counselor | 5547 N Ravenswood Ave, Chicago, IL 60640-1125 | 2016-08-17 |
1578016051 | Elisa Maurer | Counselor | 5547 N Ravenswood Ave, Chicago, IL 60640-1125 | 2016-08-01 |
1770934838 | Victor C Neumann Association | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5547 N Ravenswood Ave, 1st Floor, Chicago, IL 60640-1125 | 2016-06-29 |
1083018162 | Mary Kulikowski | Custodial Care Facility | 5547 N Ravenswood Ave, Chicago, IL 60640-1125 | 2014-10-17 |
1326458936 | Allison Kathrine Templeton | Counselor | 5547 N Ravenswood Ave, Chicago, IL 60640-1125 | 2014-05-05 |
1962832550 | Cory Nietzke | Counselor | 5547 N Ravenswood Ave, Chicago, IL 60640-1125 | 2013-11-18 |
1952678583 | Erin Carroll | Counselor | 5547 N Ravenswood Ave, Chicago, IL 60640-1125 | 2011-11-28 |
1528211448 | Eric G. Brooks | Counselor | 5547 N Ravenswood Ave, Chicago, IL 60640 | 2008-10-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336754233 | Rci (wrs), LLC. | Clinic/Center | 5221-23 North Broadway, Chicago, IL 60640 | 2020-09-09 |
1548871916 | Borici Counseling LLC | Counselor | 4731 N Paulina St, Chicago, IL 60640 | 2020-08-11 |
1306319173 | Gerardo Garcia | Physician Assistant | Medical Staff Office, Weiss Memorial Hospital, 4646 N Marine Drive, Chicago, IL 60640 | 2019-01-04 |
1386121283 | Aea Optical Ventures, LLC | Clinic/Center | 4814 N Clark St, Chicago, IL 60640 | 2018-07-24 |
1023503885 | Lauren Vassiliades | Internal Medicine | Weiss Memorial Hospital, Medical Education Dpt., 4646 N. Marine Drive, C Elevators, 7th Flr. # 7100, Chicago, IL 60640 | 2018-06-25 |
1477061620 | Yesenia Vargas | Nurse Practitioner | 1025 W Sunnyside, Chicago, IL 60640 | 2018-01-22 |
1932622206 | Jasleen Kaur Brar | Internal Medicine | 4646 N. Marine Dr., Chicago, IL 60640 | 2017-07-19 |
1750802849 | Umer Mukhtar | Internal Medicine | 4646 N. Marine Dr. Med Ed Dept. C Elevators., Weiss Memorial Hospital. 7 Floor. #7100, Chicago, IL 60640 | 2017-06-29 |
1184144081 | Ellie Navidson | Registered Nurse | 1015 W Lawrence, 2nd Floor, Chicago, IL 60640 | 2017-06-21 |
1962932558 | Jennifer Stridh | Marriage & Family Therapist | 5125 N. Winthrop Ave, 1f, Chicago, IL 60640 | 2017-06-15 |
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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 |
---|---|---|---|---|
1366058075 | Allyssa Rose Bertram | Counselor | 4055 W Peterson Ave Ste 202, Chicago, IL 60646-6183 | 2020-09-17 |
1952914707 | Tara Ufer | Counselor | 400 W Deming Pl Apt 9g, Chicago, IL 60614-1702 | 2020-08-30 |
1104439694 | Alisa Williams | Counselor | 409 E 62nd St, Chicago, IL 60637-6097 | 2020-08-25 |
1730791492 | Forward Intentions Therapy LLC | Counselor | 1309 N Ashland Ave, Chicago, IL 60622-8744 | 2020-08-23 |
1184232183 | Isaac William Samuelson | Counselor | 3058 W Cortland St Apt 2, Chicago, IL 60647-5075 | 2020-07-16 |
1346861242 | Hannah Conner | Counselor | 2756 N Pine Grove Ave Apt 705, Chicago, IL 60614-6167 | 2020-05-01 |
1881215804 | Pamela Ann Brazelton-sykes | Counselor | Pioneer Gardens Supportive Living, 3800 S King Dr, Chicago, IL 60653 | 2020-04-30 |
1619597259 | Charles Chevell Hurt | Counselor | 1606 W Wallen Ave Apt 1, Chicago, IL 60626-6592 | 2020-04-23 |
1851911580 | Jessica C Baran | Counselor | 5200 S Blackstone Ave Apt 401, Chicago, IL 60615-6011 | 2020-04-22 |
1659907350 | Lauren Graner | Counselor | 2845 N Sheridan Rd # 708, Chicago, IL 60657-7227 | 2020-03-14 |
Find all providers in CHICAGO |
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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.