ISAAC WILLIAM SAMUELSON (NPI# 1184232183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184232183 |
Entity Type | Individual |
Full Name | ISAAC WILLIAM SAMUELSON |
Credential | LPC |
Practice Address |
3058 W Cortland St Apt 2 Chicago IL 60647-5075 |
Practice Telephone | 4046610945 |
Mailing Telephone | 4046610945 |
Enumeration Date | 2020-07-16 |
Last Update Date | 2020-07-16 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | 178.015973 | IL | Behavioral Health & Social Service Providers |
Street Address |
3058 W CORTLAND ST APT 2 |
City | CHICAGO |
State | IL |
Zip Code | 60647-5075 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164035879 | Scott Spine and Health LLC | Chiropractor | 2560 W. Armitage Ave, Unit C2, Chicago, IL 60647 | 2020-08-24 |
1003424458 | Emily Gleesing | Physical Therapist | 1923 N Western Ave, Chicago, IL 60647 | 2020-07-21 |
1699301358 | Marcella Guzman P.C. | Dentist | 3236 W. Fullerton Ave., Chicago, IL 60647 | 2020-03-13 |
1740772342 | Envision Unlimited | Case Management | 2646 N Washtenaw Ave # 3n, Chicago, IL 60647 | 2018-05-31 |
1992297535 | Envision Unlimited | Case Management | 2646 N Washtenaw Ave # 2n, Chicago, IL 60647 | 2018-05-30 |
1942704580 | Team Rehabilitation Il15, LLC | Physical Therapist | 1923 N Western Avenue, Chicago, IL 60647 | 2018-03-20 |
1023517331 | Chicago Medical Healthcare Group, S.c. | Family Medicine | 3648 W Armitage Avenue, Chicago, IL 60647 | 2018-02-02 |
1023537693 | Erin Frommeyer | Physician Assistant | 2228 W Dickens Avenue, Chicago, IL 60647 | 2017-09-15 |
1457872475 | Stefanie Paola Maurtua | Behavioral Analyst | 2448 West Bloomingdale Ave., Apt 2e, Chicago, IL 60647 | 2017-06-29 |
1700322922 | Lumen Optical Illinois 4, LLC | Optometrist | 2420 N Elston, Bucktown, IL 60647 | 2017-01-11 |
Find all providers in zip 60647 |
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 |
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 |
1255966784 | Three Raven Counseling, LLC | Counselor | 5215 N Ravenswood Ave Ste 312, Chicago, IL 60640-1670 | 2020-03-05 |
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.