MODERN CONNECTIONS THERAPY, LLC (NPI# 1205326691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205326691 |
| Entity Type | Organization |
| Organization Name | MODERN CONNECTIONS THERAPY, LLC |
| Practice Address |
101 N Marion St Ste 208 Oak Park IL 60301 |
| Mailing Address |
101 N Marion St Ste 211 Oak Park IL 60301-1023 |
| Practice Telephone | 7084059181 |
| Mailing Telephone | 7084059181 |
| Enumeration Date | 2018-05-11 |
| Last Update Date | 2018-08-09 |
| Authorized Official Name | SHAWN MARIE FLYNN (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Telephone | 7084059181 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
149019589 | IL | Ambulatory Health Care Facilities |
| Street Address |
101 N MARION ST STE 208 |
| City | OAK PARK |
| State | IL |
| Zip Code | 60301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033224183 | Cathleen M Gould | Psychiatry & Neurology | 101 N Marion St Ste 208, Oak Park, IL 60301 | 2006-08-20 |
| 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 |
| 1194244400 | Kristin Burns Mind and Body | Clinic/Center | 715 Lake St Ste 703, Oak Park, IL 60301 | 2017-09-18 |
| 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 |
| Find all providers in zip 60301 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528532785 | Akspainllc | Clinic/Center | 245 S East Ave Unit 1, Oak Park, IL 60302-3211 | 2019-01-21 |
| 1992165542 | Pierce Counseling & Consulting Services | Clinic/Center | 633 S Oak Park Ave, Oak Park, IL 60304-1213 | 2016-02-24 |
| 1154974970 | Wilson Counseling and Educational Consultants, Pllc | Clinic/Center | 13860 Kenwood St Apt 205, Oak Park, MI 48237-2065 | 2019-07-21 |
| 1366922502 | Center for Wisdom Healing, Inc | Clinic/Center | 1101 Lake St Ste 201, Oak Park, IL 60301-1046 | 2018-08-17 |
| 1851809255 | Ann Hruby LLC | Clinic/Center | 1011 Lake St Ste 304, Oak Park, IL 60301-1138 | 2018-01-19 |
| 1821516931 | Middle Path Psychotherapy, LLC | Clinic/Center | 1010 Lake St Ste 614, Oak Park, IL 60301-1136 | 2017-09-08 |
| 1376770875 | Sage Neuropsychology Consultants | Clinic/Center | 137 N Oak Park Ave, Oak Park, IL 60301-1344 | 2009-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245831569 | Chicago Psychiatric LLC | Clinic/Center | 800 W Cornelia Ave Apt 303, Chicago, IL 60657-2086 | 2020-11-03 |
| 1184223133 | Kevin P. Mcdunn, Psyd, LLC | Clinic/Center | 605 W Madison St Apt 2001, Chicago, IL 60661-2469 | 2020-10-21 |
| 1699372250 | Ctf Illinois | Clinic/Center | 1400 Reynolds Dr, Charleston, IL 61920-2411 | 2020-10-07 |
| 1124634852 | Prosper Counseling Services | Clinic/Center | 808 W Junior Ter Apt 303, Chicago, IL 60613-1657 | 2020-09-17 |
| 1962017665 | Hopeology, Pllc | Clinic/Center | 700 E North St Ste B, Elburn, IL 60119-7009 | 2020-09-10 |
| 1013521301 | Self Connected Therapy LLC | Clinic/Center | 2189 N. Rt. 83, #292, Round Lake Beach, IL 60073 | 2020-09-03 |
| 1508479288 | Bash Psychotherapy Corporation | Clinic/Center | 413 E Berry Rd, Barrington, IL 60010-3317 | 2020-08-24 |
| 1326658402 | Ventura Counseling, LLC | Clinic/Center | 620 Manchester Ave, Westchester, IL 60154-2714 | 2020-08-04 |
| 1265040760 | Orchid Counseling Chicago | Clinic/Center | 451 W Melrose St Apt 610, Chicago, IL 60657-3826 | 2020-07-21 |
| 1164040630 | Sunshine Therapy Pllc | Clinic/Center | 3328 N Bell Ave, Chicago, IL 60618-6204 | 2020-07-10 |
| Find all providers with the same taxonomy | ||||
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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.