ANDREA MOSQUEDA


Address: 4217 W 59th St, Chicago, IL 60629
Phone: 7735724935

ANDREA MOSQUEDA (NPI# 1194202085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194202085
Entity Type Individual
Full Name ANDREA MOSQUEDA
Credential LCPC
Practice Address 4217 W 59th St
Chicago
IL 60629
Mailing Address 4217 W 59th St
Chicago
IL 60629-4944
Practice Telephone 7735724935
Practice Fax Number 7732849205
Mailing Telephone 7732064509
Mailing Fax Number 7732849205
Enumeration Date 2018-07-23
Last Update Date 2019-07-01
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
180011654 IL Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
10343 S Western Ave, Chicago, IL 606432410 7735724935
4217 W 59th St, Chicago, IL 60629 7735724935 7732849205

Office Location

Street Address 4217 W 59TH ST
City CHICAGO
State IL
Zip Code 60629

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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1881291920 Freddy Reyes Counselor 931 W Leland Ave Apt 405, Chicago, IL 60640-6611 2020-10-01
1508463704 Tynisha Jointer Counselor 7710 S Saint Lawrence Ave, Chicago, IL 60619-2925 2020-10-01
1851908206 Manqual Chambers Counselor 2801 S King Dr, Chicago, IL 60616-2949 2020-09-29
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1952916322 Elle Skelton Counselor 2219 N Seeley Ave Apt 3f, Chicago, IL 60647-3363 2020-09-13
1437764305 Donita M Lester Counselor 7022 S South Shore Dr Apt 214, Chicago, IL 60649-2229 2020-09-09
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Competitor

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City CHICAGO
Zip Code 60629

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Dataset Information

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.

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