HAVEN YOUTH AND FAMILY SERVICES (NPI# 1164864302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164864302 |
| Entity Type | Organization |
| Organization Name | HAVEN YOUTH AND FAMILY SERVICES |
| Practice Address |
825 Green Bay Rd Suite 200 Wilmette IL 60091-2597 |
| Mailing Address |
Po Box 613 Channahon IL 60410-0613 |
| Practice Telephone | 8472516630 |
| Practice Fax Number | 8155211889 |
| Mailing Telephone | 8155211889 |
| Mailing Fax Number | 8155211889 |
| Enumeration Date | 2013-07-29 |
| Last Update Date | 2013-07-29 |
| Authorized Official Name | CHARLEY SMITH (DIRECTOR) |
| Authorized Official Telephone | 8472516630 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
IL | Behavioral Health & Social Service Providers | |
| Y | 101YP2500X |
Counselor Specialization: Professional |
149013375 | IL | Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | HAVEN YOUTH AND FAMILY SERVICES | 825 Green Bay Rd Ste 200, Wilmette, IL 60091-2500 |
| Street Address |
825 GREEN BAY RD SUITE 200 |
| City | WILMETTE |
| State | IL |
| Zip Code | 60091-2597 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972978021 | Nina Esshaki | Counselor | 825 Green Bay Rd, Suite 200, Wilmette, IL 60091-2597 | 2015-12-01 |
| 1336514470 | Ellen Carol Switalski | Marriage & Family Therapist | 825 Green Bay Rd, Suite 200, Wilmette, IL 60091-2597 | 2015-12-01 |
| 1164897203 | Joan Madsen | Counselor | 825 Green Bay Rd, Suite 200, Wilmette, IL 60091-2597 | 2015-12-01 |
| 1386076065 | Kelly Catherine Keane | Social Worker | 825 Green Bay Rd, Suite 200, Wilmette, IL 60091-2597 | 2013-08-05 |
| 1952733099 | Lori Ann Barsztaitis | Social Worker | 825 Green Bay Rd, Suite 200, Wilmette, IL 60091-2597 | 2013-07-31 |
| 1316379456 | Robin Metzler | Social Worker | 825 Green Bay Rd, Suite 200, Wilmette, IL 60091-2597 | 2013-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689284408 | Tanner Hoegh | Counselor | Address: 825 Green Bay Rd, Suite 200, Wilmette, IL 60091 | 2020-08-06 |
| 1205301082 | Charles Michael Falcone | Anesthesiology | 2743 Illinois Road, Wilmette, IL 60091 | 2018-10-09 |
| 1134646219 | Shari Beth Nivasch | Counselor | 445 Beverly Drive, Wilmette, IL 60091 | 2017-08-29 |
| 1508288440 | Debra Anne Brodd | Chiropractor | 522 Poplar, Wilmette, IL 60091 | 2014-01-13 |
| 1720411085 | Catherine Elizabeth Zwergel | Acupuncturist | 1215 Washington Ave Ste 203, Wilmette, IL 60091 | 2013-08-09 |
| 1447693106 | Michael Joseph Engelman | Dentist | 1625 Sheridan Rd. Suite M, Wilmette, IL 60091 | 2013-04-12 |
| 1720365117 | Anna Kielar | Pharmacist | 811 Greenbay Rd, Wilmette, IL 60091 | 2011-11-14 |
| 1306128368 | Victoriya Kharon | Pharmacist | 811 Greenbay Road, Wilmette, IL 60091 | 2011-09-15 |
| 1154626653 | Mary Jo Schmitz | Physical Therapist | 3330 Old Glenview Rd., Suite 4, Wilmette, IL 60091 | 2011-01-14 |
| 1053622522 | Stephanie Lynn Kutzen | Social Worker | 1925 Lake Avenue, Suite 305, Wilmette, IL 60091 | 2010-06-29 |
| Find all providers in zip 60091 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689284408 | Tanner Hoegh | Counselor | Address: 825 Green Bay Rd, Suite 200, Wilmette, IL 60091 | 2020-08-06 |
| 1346715265 | Northshore Postpartum and Family Counseling | Counselor | 3330 Old Glenview Rd Ste 3, Wilmette, IL 60091-2963 | 2018-10-07 |
| 1750871919 | Draw Together, Inc. | Counselor | 1213 Wilmette Ave Ste 200, Wilmette, IL 60091-2566 | 2018-05-14 |
| 1134646219 | Shari Beth Nivasch | Counselor | 445 Beverly Drive, Wilmette, IL 60091 | 2017-08-29 |
| 1942675095 | Laurie Kathleen Stogin | Counselor | 1105 Locust Rd, Wilmette, IL 60091-1240 | 2015-12-01 |
| 1922406685 | Laura Doyle | Counselor | 1803 Walnut Ave, Wilmette, IL 60091-1540 | 2014-12-12 |
| 1669713772 | Sue Blomberg, Lcpc, LLC | Counselor | 1040 Chestnut Ave, Wilmette, IL 60091-1732 | 2013-03-14 |
| 1073862348 | Elena Frishman | Counselor | 1635 Wilmette Ave, Wilmette, IL 60091-2453 | 2012-09-02 |
| 1972893618 | Lisa Goldman | Counselor | 400 Linden Ave Ste 3, Wilmette, IL 60091-3607 | 2011-04-14 |
| 1417109893 | Karee B Rubinstein Wallach | Counselor | 1630 Elmwood Ave, Wilmette, IL 60091-1554 | 2008-10-16 |
| Find all providers in WILMETTE | ||||
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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.