KRISTINA MARIK (NPI# 1134578529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134578529 |
| Entity Type | Individual |
| Full Name | KRISTINA MARIK |
| Credential | MSW |
| Practice Address |
31979 N Fish Lake Rd Round Lake IL 60073-9517 |
| Mailing Address |
519 S Warren Ave Palatine IL 60074-6423 |
| Practice Telephone | 8475466450 |
| Mailing Telephone | 8457294083 |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2016-06-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
31979 N FISH LAKE RD |
| City | ROUND LAKE |
| State | IL |
| Zip Code | 60073-9517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912950460 | Nicasa | Voluntary or Charitable | 31979 N Fish Lake Rd, Round Lake, IL 60073-9517 | 2006-05-18 |
| 1255980991 | Guillermina Figueroa | Counselor | 31979 N Fish Lake Rd, Round Lake, IL 60073-9517 | 2019-09-05 |
| 1811478464 | Anastasia Koumbis | Social Worker | 31979 N Fish Lake Rd, Round Lake, IL 60073-9517 | 2018-08-22 |
| 1427549260 | Michael Gleason | Counselor | 31979 N Fish Lake Rd, Round Lake, IL 60073-9517 | 2018-05-29 |
| 1326542697 | Rebecca Craig | Counselor | 31979 N Fish Lake Rd, Round Lake, IL 60073-9517 | 2018-03-21 |
| 1396268827 | Nada Pavlovic | Counselor | 31979 N Fish Lake Rd, Round Lake, IL 60073-9517 | 2017-07-17 |
| 1386194231 | Tilisha Harrison | Social Worker | 31979 N Fish Lake Rd, Round Lake, IL 60073-9517 | 2016-10-04 |
| 1306201173 | Christine Newton | Counselor | 31979 N Fish Lake Rd, Round Lake, IL 60073-9517 | 2015-12-22 |
| 1639544620 | Edmundo Lopez | Counselor | 31979 N Fish Lake Rd, Round Lake, IL 60073-9517 | 2015-12-02 |
| 1194199489 | Katarzyna Zalewska | Counselor | 31979 N Fish Lake Rd, Round Lake, IL 60073-9517 | 2015-11-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477280 | Marlene A Espinosa | Pharmacist | 2680 N, Il 83, Round Lake Beach, IL 60073 | 2020-11-02 |
| 1225637614 | Sharice Ellenwood | Counselor | 1087 N Village Dr, Round Lake Beach, IL 60073 | 2020-10-18 |
| 1013521301 | Self Connected Therapy LLC | Clinic/Center | 2189 N. Rt. 83, #292, Round Lake Beach, IL 60073 | 2020-09-03 |
| 1538710900 | Mykola Rudyk | Dentist | 425 N Wilson Rd, Round Lake, IL 60073 | 2019-09-26 |
| 1205344173 | Shamari Mentoring Company | Counselor | 1020 W Rollins Rd, Rould Lake Heights, IL 60073 | 2018-01-13 |
| 1770007007 | Mary Burnett | Physical Therapy Assistant | 512 S Jade Lane, Round Lake, IL 60073 | 2017-07-28 |
| 1881055549 | Irina Akimova | Community Health Worker | 715 W. Judd Street, Woodstock, IL 60073 | 2016-03-09 |
| 1487051751 | Lawrence Scire | Specialist | 800 High School Drive, Round Lake, IL 60073 | 2014-12-02 |
| 1659778090 | Giacchino James Lech II | Specialist/Technologist | 609 S Jade Ln, Round Lake, IL 60073 | 2014-12-01 |
| 1407265283 | Linda Lee Eaton | Massage Therapist | 650 S Curran Road, Round Lake, IL 60073 | 2014-08-06 |
| Find all providers in zip 60073 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255980991 | Guillermina Figueroa | Counselor | 31979 N Fish Lake Rd, Round Lake, IL 60073-9517 | 2019-09-05 |
| 1942783824 | Suzanne Quinn | Counselor | 2023 Route 9, Round Lake, NY 12151-1701 | 2018-09-07 |
| 1396268827 | Nada Pavlovic | Counselor | 31979 N Fish Lake Rd, Round Lake, IL 60073-9517 | 2017-07-17 |
| 1306201173 | Christine Newton | Counselor | 31979 N Fish Lake Rd, Round Lake, IL 60073-9517 | 2015-12-22 |
| 1639544620 | Edmundo Lopez | Counselor | 31979 N Fish Lake Rd, Round Lake, IL 60073-9517 | 2015-12-02 |
| 1821460957 | Marcela Cobian | Counselor | 31979 N Fish Lake Rd, Round Lake, IL 60073-9517 | 2015-10-28 |
| 1659743771 | Jim Feret | Counselor | 31979 N Fish Lake Rd, Round Lake, IL 60073-9517 | 2015-10-28 |
| 1407228596 | Arthur Collier | Counselor | 31979 N Fish Lake Rd, Round Lake, IL 60073-9517 | 2015-10-28 |
| 1992177174 | Jeffrey Zachary | Counselor | 31979 N Fish Lake Rd, Round Lake, IL 60073-9517 | 2015-10-27 |
| 1396117594 | Sheila Renia White | Counselor | 31979 N Fish Lake Rd, Round Lake, IL 60073-9517 | 2015-10-27 |
| Find all providers in ROUND LAKE | ||||
| City | ROUND LAKE |
| Zip Code | 60073 |
Please comment or provide details below to improve the information on KRISTINA MARIK.
| 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.