KRISTIN BURNS MIND AND BODY (NPI# 1194244400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194244400 |
| Entity Type | Organization |
| Organization Name | KRISTIN BURNS MIND AND BODY |
| Practice Address |
715 Lake St Ste 703 Oak Park IL 60301 |
| Mailing Address |
1115 Thatcher Ave River Forest IL 60305-1332 |
| Practice Telephone | 3128520515 |
| Mailing Telephone | 3128520515 |
| Enumeration Date | 2017-09-18 |
| Last Update Date | 2018-08-09 |
| Authorized Official Name | KRISTIN BURNS (OWNER) |
| Authorized Official Telephone | 3128520515 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
248-002249 | IL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS OF IL PPO | 1316369630 | 01 |
| IL | BCBS PPO | 1316369630 | 01 |
| Street Address |
715 LAKE ST STE 703 |
| City | OAK PARK |
| State | IL |
| Zip Code | 60301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457982332 | Heather Lea Corwin | Counselor | Blackbird Behavioral Health, 715 Lake Street, 4th Floor, Oak Park, IL 60301 | 2020-01-30 |
| 1538686357 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 1129 Lake St., Oak Park, IL 60301 | 2017-08-23 |
| 1851835888 | Wanda Secthecia Presley | Nurse's Aide | 1140 South Lake Street, Oak Park, IL 60301 | 2016-12-09 |
| 1477914323 | Naomi Elise Heinz | Occupational Therapist | 820 North Boulevard, Kids Unlimited Therapy Services, LLC, Oak Park, IL 60301 | 2016-03-18 |
| 1316339518 | Christina Shrader | Counselor | 137 N Oak Park Ave Ste 123, Oak Park, IL 60301 | 2015-02-24 |
| 1356755334 | Grief Recovery Group, Inc | Social Worker | 1010 Lake Street, Suite 620, Oak Park, IL 60301 | 2014-06-17 |
| 1700137239 | Christine Marie Hare | Nurse Practitioner | 1100 Lake St Ste 120, Oak Park, IL 60301 | 2012-09-24 |
| 1427334622 | Ina N. Owens | Social Worker | 137 N. Oak Park Ave, Oak Park, IL 60301 | 2011-11-01 |
| 1265720130 | Debora S Crowley | Occupational Therapist | 820 North Blvd., Oak Park, IL 60301 | 2011-07-13 |
| 1316236987 | Kristin M Baier | Family Medicine | 932 Lake St, Oak Park, IL 60301 | 2011-04-04 |
| Find all providers in zip 60301 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518588334 | Seasons Within LLC | Clinic/Center | 1515 N Harlem Ave Ste 301, Oak Park, IL 60302-1205 | 2020-05-04 |
| 1063981207 | Nia Integrative Healing | Clinic/Center | 1122 Westgate St Ste 201a, Oak Park, IL 60301-1170 | 2018-11-16 |
| 1497981559 | N.a. Levy Md & Assoc, Ltd | Clinic/Center | 1011 W. Lake Street, Suite 418, Oak Park, IL 60301 | 2009-06-03 |
| 1992767602 | Hephzibah Children's Association | Clinic/Center | 946 North Blvd, Oak Park, IL 60301-1205 | 2006-04-06 |
| 1538700273 | Empower Family Therapy, LLC. | Clinic/Center | 137 N Oak Park Ave Ste 123, Oak Park, IL 60301-1300 | 2019-10-03 |
| 1245748722 | Blackbird Behavioral Health, PC | Clinic/Center | 715 Lake St Ste 410, Oak Park, IL 60301-1413 | 2018-01-18 |
| 1740725217 | Wisdom for The Journey, LLC | Clinic/Center | 1010 Lake St, Suite 200/253, Oak Park, IL 60301-1147 | 2016-12-19 |
| 1881911543 | Hephzibah Children's Association | Clinic/Center | 1144 Lake St, 5th Floor, Oak Park, IL 60301-6705 | 2010-04-21 |
| 1285880252 | Proviso Family Services | Clinic/Center | 3 Erie Ct, Oak Park, IL 60302-2519 | 2008-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225639990 | Mindy Forman, Psyd, LLC | Clinic/Center | 1020 Milwaukee Ave Ste 110, Deerfield, IL 60015-3555 | 2020-11-07 |
| 1346840295 | Stopka Professional Counseling LLC | Clinic/Center | 13125 Steeplechase Dr, New Lenox, IL 60451-1320 | 2020-10-29 |
| 1346848785 | Wellness Hearted Therapy LLC | Clinic/Center | 2675 S Cedar Glen Dr, Arlington Heights, IL 60005-5303 | 2020-10-16 |
| 1457959256 | Association for Individual Development | Clinic/Center | 708 N Bridge St, Yorkville, IL 60560-1105 | 2020-10-14 |
| 1285231555 | Association for Individual Development | Clinic/Center | 236 W Crystal Lake Ave, Crystal Lake, IL 60014-5847 | 2020-10-08 |
| 1386241123 | Envision Unlimited | Clinic/Center | 1801 N Spaulding Ave, Chicago, IL 60647-4926 | 2020-10-05 |
| 1881291789 | Jessica Weisbach, LLC | Clinic/Center | 2257 N Kedzie Blvd Apt 3, Chicago, IL 60647-2561 | 2020-10-04 |
| 1619574803 | Envision Unlimited | Clinic/Center | 2124 W 82nd Pl, Chicago, IL 60620-5358 | 2020-10-01 |
| 1144827320 | Envision Unlimited | Clinic/Center | 4919 N Clark St, Chicago, IL 60640-3514 | 2020-10-01 |
| 1194322370 | Envision Unlimited | Clinic/Center | 4911 S Hoyne Ave, Chicago, IL 60609-4721 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KRISTIN BURNS MIND AND BODY.
| 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.