MISS DAISY STEPHANIE ZULUAGA (NPI# 1225663230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225663230 |
Entity Type | Individual |
Full Name | MISS DAISY STEPHANIE ZULUAGA |
Practice Address |
3002 Grand Ave Waukegan IL 60085-2321 |
Mailing Address |
12811 W 28th St Beach Park IL 60099-9751 |
Practice Telephone | 8473778190 |
Practice Fax Number | 8479845961 |
Mailing Telephone | 8479467749 |
Enumeration Date | 2020-03-10 |
Last Update Date | 2020-03-10 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
Street Address |
3002 GRAND AVE |
City | WAUKEGAN |
State | IL |
Zip Code | 60085-2321 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811109184 | County of Lake | Clinic/Center | 3002 Grand Ave, Waukegan, IL 60085-2321 | 2007-05-07 |
1548807373 | Thomas Lamar Wise-bey | Counselor | 3002 Grand Ave, Waukegan, IL 60085-2321 | 2019-11-27 |
1669017711 | Matthew David Pikus | Counselor | 3002 Grand Ave, Waukegan, IL 60085-2321 | 2019-11-13 |
1639720899 | Michelle Marie Grace | Counselor | 3002 Grand Ave, Waukegan, IL 60085-2321 | 2019-09-27 |
1790346989 | Karina Ortiz | Registered Nurse | 3002 Grand Ave, Waukegan, IL 60085-2321 | 2019-06-27 |
1184287666 | Audrey Ringer | Registered Nurse | 3002 Grand Ave, Waukegan, IL 60085-2321 | 2019-04-19 |
1275007569 | Kelli A Ciolek | Counselor | 3002 Grand Ave, Waukegan, IL 60085-2321 | 2019-01-20 |
1700356185 | Gloria Lara | Counselor | 3002 Grand Ave, Waukegan, IL 60085-2321 | 2018-11-28 |
1801370457 | Hernan D Canales | Registered Nurse | 3002 Grand Ave, Waukegan, IL 60085-2321 | 2018-09-19 |
1518478635 | Stephanie Nicole Sajuan | Counselor | 3002 Grand Ave, Waukegan, IL 60085-2321 | 2017-10-16 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285285189 | Allison Rose Matuszewski | Speech-Language Pathologist | Robbie M. Lightfoot, 1721 N Mcaree Rd, Waukegan, IL 60085 | 2019-09-23 |
1164985602 | Kristin Kaprak | Speech-Language Pathologist | Thomas Jefferson Middle School, 600 S. Lewis, Waukegan, IL 60085 | 2019-04-11 |
1861972317 | Mitchum Smith | Student in an Organized Health Care Education/Training Program | 2025 Washington Street, Waukegan, IL 60085 | 2018-08-15 |
1447702998 | Rachel Martinez | Registered Nurse | 3002 Grand Ave., Waukegan, IL 60085 | 2016-11-01 |
1831649250 | Kenneth Caples | Specialist/Technologist | 211 S County St, Waukegan, IL 60085 | 2016-10-10 |
1033666490 | Catholic Charities of The Archdiocese of Chicago | Community/Behavioral Health | 671 S. Lewis Ave., Waukegan, IL 60085 | 2016-09-02 |
1285007757 | Michael Moore | Counselor | 1113 Greenwood Ave, Waukegan, IL 60085 | 2015-11-05 |
1740656503 | Emperatriz Guerra | Counselor | 329 N. Genesee Street, Waukegan, IL 60085 | 2015-08-17 |
1992189880 | County of Lake | Clinic/Center | 540 S. Mcalister Ave., Waukegan, IL 60085 | 2015-07-10 |
1922406354 | Ebele Okonkwor | Nurse Anesthetist, Certified Registered | 1324 N. Sheridan, Waukegan, IL 60085 | 2014-12-17 |
Find all providers in zip 60085 |
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 |
---|---|---|---|---|
1649643446 | Franco Flores | Counselor | 1113 W Greenwood Avenue, Waukegan, IL 60085-8332 | 2015-11-03 |
1669071833 | Erica Slattery | Counselor | 671 S Lewis Ave, Waukegan, IL 60085-6101 | 2020-10-20 |
1588270656 | Alona Diane Miller | Counselor | 2025 Washington St, Waukegan, IL 60085-5131 | 2020-09-23 |
1740895481 | Ashley Perez | Counselor | 3010 Grand Ave, Waukegan, IL 60085-2321 | 2020-09-10 |
1528672839 | Haley Juliet Rainwater | Counselor | 3010 Grand Ave, Waukegan, IL 60085-2321 | 2020-09-03 |
1003465592 | Sindy Lorena Guerra | Counselor | 3010 Grand Ave, Waukegan, IL 60085-2321 | 2019-09-06 |
1467008474 | Alexandra Noelle Weidner | Counselor | 3010 Grand Ave, Waukegan, IL 60085-2321 | 2019-08-15 |
1073175774 | Damaris Aviles | Counselor | 3010 Grand Ave, Waukegan, IL 60085-2321 | 2019-07-02 |
1881253896 | Jazmin Sanchez | Counselor | 3010 Grand Ave, Waukegan, IL 60085-2321 | 2019-06-12 |
1942763354 | Palmer Jones Mccluskey | Counselor | 671 S Lewis Ave, Waukegan, IL 60085-6101 | 2019-04-11 |
Find all providers in WAUKEGAN |
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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.