MS. CAROL DIANNE JENNINGS (NPI# 1265577662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265577662 |
| Entity Type | Individual |
| Full Name | MS. CAROL DIANNE JENNINGS |
| Credential | LCPC |
| Practice Address |
708 Church Street Suite 245 Evanston IL 60201-3840 |
| Practice Telephone | 8474929288 |
| Mailing Telephone | 8474929288 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS BLUE SHIELD | 01634922 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114196029 | Carol Demontmollin Jennings | Speech-Language Pathologist | 315 Springcreek Ct, West Columbia, SC 29170-2473 | 2008-02-25 |
| 1457342115 | Carol H Jennings | Dietitian, Registered | 7050 Gall Blvd, East Pasco Medical Center, Zephyrhills, FL 33541-1347 | 2005-11-02 |
| Street Address |
708 CHURCH STREET SUITE 245 |
| City | EVANSTON |
| State | IL |
| Zip Code | 60201-3840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548361553 | Nicholas Dunkas | Psychiatry & Neurology | 708 Church Street, Suite 216, Evanston, IL 60201-3881 | 2006-09-25 |
| 1265819254 | Barnett Therapeutic Services, LLC | Psychologist | 708 Church Street, Suite 258, Evanston, IL 60201 | 2015-04-29 |
| 1639299415 | Julie Gail Coplon | Social Worker | 708 Church Street, Suite 201, Evanston, IL 60201-3881 | 2007-03-29 |
| 1578620670 | Craig Douglas Lehtman | Dentist | 708 Church Street, Suite 209, Evanston, IL 60201 | 2007-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356962898 | Sebastian Andres Cruz | Internal Medicine | Northshore University Healthsystem, Off of Acad Affairs, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2020-05-06 |
| 1053970442 | Wade Gilman | Family Medicine | 1650 Ridge Ave, Ste 1304, Evanston, IL 60201 | 2019-06-10 |
| 1922577949 | Elizabeth Wilton Therapy, LLC | Counselor | 2901a Central St Ste 3, Evanston, IL 60201 | 2018-11-20 |
| 1952887812 | Sg Wellness LLC | Clinic/Center | 3008 Central Street, Evanston, IL 60201 | 2018-07-13 |
| 1689169591 | Michael Kert Zijlstra | Internal Medicine | Northshore University Healthsystem Office of Academic, Affairs 2650 Ridge Ave, Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1982199725 | Elizabeth Hannah Lees | Internal Medicine | Northshore University Healthsystem Office of Academic A, 2650 Ridge Ave Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1730674565 | Ashley Elizabeth Aller | Internal Medicine | Northshore University Healthsystem, Office Acad Affairs, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1669967683 | Ayush N Shah | Internal Medicine | 2650 Ridge Ave Ste 5315, Evanston, IL 60201 | 2018-06-22 |
| 1811481062 | Jeffrey D. Brow | Internal Medicine | 2650 Ridge Ave Rm 5315, Evanston, IL 60201 | 2018-06-20 |
| 1831687250 | Michael Patrick Murphy | Radiology | 807 Davis St. Unit 707, Evanston, IL 60201 | 2018-05-01 |
| Find all providers in zip 60201 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831798404 | Erin Frasco | Counselor | 622 Davis St # 200, Evanston, IL 60201-4491 | 2020-10-23 |
| 1114538329 | Peggy Rubenstein | Counselor | 826 Judson Ave Apt 3, Evanston, IL 60202-2462 | 2020-08-11 |
| 1831708304 | Alison Toback, Lcpc | Counselor | 708 Church St Ste 221, Evanston, IL 60201-3840 | 2020-07-30 |
| 1306466644 | Hedy Helfand | Counselor | 211 Dewey Ave, Evanston, IL 60202-3713 | 2020-04-16 |
| 1912532672 | Lora Slutsky | Counselor | 2020 Dempster St, Evanston, IL 60202-1017 | 2020-03-03 |
| 1740813021 | Shairee Lackey | Counselor | 1206 Pitner Ave, Evanston, IL 60202-1049 | 2020-02-15 |
| 1013568989 | Peter Agostino | Counselor | 1327 Ashland Ave Apt 1, Evanston, IL 60201-6805 | 2019-09-23 |
| 1891357356 | Amy Owen Counseling LLC | Counselor | 708 Church St Ste 219, Evanston, IL 60201-3881 | 2019-07-05 |
| 1265906028 | Monica Isaac | Counselor | 708 Church St Ste 217, Evanston, IL 60201-3881 | 2019-01-15 |
| 1801366364 | Kaitlyn Whitebread | Counselor | 726 Hinman Ave Apt 2e, Evanston, IL 60202-2570 | 2018-11-27 |
| Find all providers in EVANSTON | ||||
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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.