MAKE YOUR MARK THERAPY, LLC (NPI# 1215398508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215398508 |
| Entity Type | Organization |
| Organization Name | MAKE YOUR MARK THERAPY, LLC |
| Practice Address |
1608 W Colonial Pkwy Suite 207 Inverness IL 60067-4755 |
| Practice Telephone | 6303909833 |
| Enumeration Date | 2016-03-14 |
| Last Update Date | 2016-03-14 |
| Authorized Official Name | KIRA MURPHY (LICNESED CLINICAL COUNSELOR) |
| Authorized Official Telephone | 6303909833 |
| Authorized Official Credential | LCPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 180.008991 | IL | Agencies |
| Street Address |
1608 W COLONIAL PKWY SUITE 207 |
| City | INVERNESS |
| State | IL |
| Zip Code | 60067-4755 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215189949 | Jesse Royce Czach | Naprapath | 1608 W Colonial Pkwy, Ste. 107, Inverness, IL 60067-4755 | 2008-10-13 |
| 1306206099 | Kira Murphy | Counselor | 1608 W Colonial Pkwy, Ste 207, Inverness, IL 60067-4755 | 2016-02-24 |
| 1154725653 | Gonski Counseling PC | Counselor | 1608 W Colonial Pkwy, Suite 201, Inverness, IL 60067-4755 | 2014-10-14 |
| 1639419443 | Chelsie Rene' Scoggin-chang | Counselor | 1608 W Colonial Pkwy, Suite 203, Inverness, IL 60067-4755 | 2013-02-15 |
| 1679824577 | Brennan Counseling, P.C. | Counselor | 1608 W Colonial Pkwy, Suite 205, Inverness, IL 60067-4755 | 2012-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710510730 | Little City Foundation | Clinic/Center | 1700 W. Algonquin Rd., Palatine, IL 60067 | 2020-02-18 |
| 1447883467 | Little City Foundation | Clinic/Center | 1520 Port Center Drive, Palatine, IL 60067 | 2020-02-18 |
| 1477186492 | Little City Foundation | Clinic/Center | 1545 Port Center Drive, Palatine, IL 60067 | 2020-02-18 |
| 1003449026 | Little City Foundation | Clinic/Center | 1770 Little City Drive, Palatine, IL 60067 | 2020-02-18 |
| 1013554567 | Brittany Hall | Counselor | 1608 Colonial Parkway, Suite 101, 204, 209, Inverness, IL 60067 | 2019-12-03 |
| 1992360093 | Jonathan J Krok | Physical Therapist | 101 N. Northwest Hwy., Palatine, IL 60067 | 2019-05-03 |
| 1891215158 | Ana Stefaniuk | Counselor | Clinical Care Consultants, 1642 W. Colonial Parkway, Inverness, IL 60067 | 2017-06-27 |
| 1346792900 | Pt Solutions LLC | Physical Therapist | 30 S. Northwest Highway, Palatine, IL 60067 | 2016-10-31 |
| 1811355514 | Jayeti N Patel | Physical Therapist | 101 N. Northwest Highway, Palatine, IL 60067 | 2016-02-09 |
| 1780081315 | Mint Dentistry LLC | Preferred Provider Organization | 600 North North Court, Suite 260, Palatine, IL 60067 | 2014-11-25 |
| Find all providers in zip 60067 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548772668 | Debbie Dodge, LLC | Community/Behavioral Health | 107 Dr Martin Luther King Jr Ave Ste 2, Inverness, FL 34450-4300 | 2017-10-30 |
| 1316230378 | Therapeutic Health Endeavors Institute Inc | Community/Behavioral Health | 3565 E Suzie Ln, Inverness, FL 34452-3250 | 2011-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820648 | Community Wellness Group | Community/Behavioral Health | 635 Argyle Ave, Flossmoor, IL 60422-1201 | 2020-10-26 |
| 1437758711 | Gina Baldacci, Lcsw, LLC | Community/Behavioral Health | 231 Longridge Dr, Bloomingdale, IL 60108 | 2020-10-19 |
| 1790383610 | Joni Lamb Therapy, LLC | Community/Behavioral Health | 1555 Sherman Ave # 308, Evanston, IL 60201-4421 | 2020-10-13 |
| 1811594906 | Everyday Empowered Clinical Services, Ltd. | Community/Behavioral Health | 5117 Main St, Suite #7, Downers Grove, IL 60515 | 2020-10-02 |
| 1942817150 | Pacem Wellness, LLC | Community/Behavioral Health | 8 Eagle Ctr Ste 12, O Fallon, IL 62269-1947 | 2020-09-30 |
| 1831703271 | Boules Clinical Psychology Group | Community/Behavioral Health | 200 S Frontage Rd Ste 324, Burr Ridge, IL 60527-6953 | 2020-09-02 |
| 1336753896 | Counseling Kennedy Shenberg | Community/Behavioral Health | 5752 N Campbell Ave Apt 1, Chicago, IL 60659-5080 | 2020-09-02 |
| 1265045371 | Brightside Recovery | Community/Behavioral Health | 1667 Belvidere Rd, Belvidere, IL 61008-9306 | 2020-08-28 |
| 1902419021 | Brightside Recovery | Community/Behavioral Health | 8041 186th St Ste B, Tinley Park, IL 60487-9344 | 2020-08-28 |
| 1700498573 | Bobby E. Wright Comprehensive Behavioral Health Center, Inc. | Community/Behavioral Health | 5816 W Division St Fl 1, Chicago, IL 60651-1003 | 2020-08-21 |
| 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.