MRS. PHETSAVANH COGGIN (NPI# 1336537745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336537745 |
| Entity Type | Individual |
| Full Name | MRS. PHETSAVANH COGGIN |
| Other Name | PHETSAVANH KEOBOUAVANH |
| Credential | LCPC |
| Practice Address |
3701 Doty Rd Woodstock IL 60098 |
| Mailing Address |
47 Katrina Ln Sleepy Hollow IL 60118-3123 |
| Practice Telephone | 8153386600 |
| Practice Fax Number | 8152065376 |
| Enumeration Date | 2015-01-07 |
| Last Update Date | 2020-10-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
180010325 | IL | Behavioral Health & Social Service Providers |
| N | 101YS0200X |
Counselor Specialization: School |
1001080 | IL | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10400 Haligus Rd, Huntley, IL 601429553 | 8153386600 | 8152065376 |
| 4201 W Medical Center Dr, Mchenry, IL 600508409 | 8153386600 | 8152065376 |
| Street Address |
3701 DOTY RD |
| City | WOODSTOCK |
| State | IL |
| Zip Code | 60098 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891794681 | Thomas Peeters | Emergency Medicine | 3701 Doty Rd, Woodstock, IL 60098-7509 | 2005-07-14 |
| 1962036921 | Northern Illinois Medical Center | Clinic/Center | 3701 Doty Rd, Woodstock, IL 60098-7509 | 2020-02-28 |
| 1568024982 | Kyle Joseph Saunders | Counselor | 3701 Doty Rd, Woodstock, IL 60098-7509 | 2019-07-05 |
| 1962990309 | Ravi Khapekar | Nurse Anesthetist, Certified Registered | 3701 Doty Rd, Woodstock, IL 60098-7509 | 2018-05-01 |
| 1982137337 | Maria Prusha | Pharmacist | 3701 Doty Rd, Woodstock, IL 60098-7509 | 2017-04-04 |
| 1699220525 | Grazyna Kostecki | Pharmacist | 3701 Doty Rd, Woodstock, IL 60098-7509 | 2016-08-21 |
| 1164871836 | Megan Garcia | Behavioral Analyst | 3701 Doty Rd, Woodstock, IL 60098-7509 | 2016-06-03 |
| 1164876967 | Nicholas K Ventocilla | Nurse Anesthetist, Certified Registered | 3701 Doty Rd, Woodstock, IL 60098-7509 | 2016-04-18 |
| 1225498660 | Kimberly Anne Saathoff | Pharmacist | 3701 Doty Rd, Woodstock, IL 60098-7509 | 2016-02-27 |
| 1124486790 | Angela K Astleford | Nurse Practitioner | 3701 Doty Rd, Woodstock, IL 60098 | 2016-02-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083197453 | Abb Dental Group LLC | Dentist | 11585 Us 14, Woodstock, IL 60098 | 2018-09-12 |
| 1396256467 | Gezelle Adams | Social Worker | 1200 Walden Oaks Dr, Woodstock, IL 60098 | 2017-10-17 |
| 1861910721 | Letitia Susan Edgell | Technician | 503 Lawndale Ave., Woodstock, IL 60098 | 2017-08-31 |
| 1104355460 | Jessica Evertsen | Doula | 435 Laurel Ave, Woodstock, IL 60098 | 2017-06-08 |
| 1871026724 | Bo Yeon Bartilotta | Dentist | 11585 Us-14, Woodstock, IL 60098 | 2017-04-07 |
| 1619337185 | Julia Karibian | Community Health Worker | 2983 Strauss Court, Woodstock, IL 60098 | 2016-02-26 |
| 1407249170 | Julia Bonti | Counselor | 13318 Hickory Ln, Woodstock, IL 60098 | 2015-03-05 |
| 1427485580 | Sara E Smedinghoff | Physical Therapy Assistant | 708 Washington Street, Woodstock, IL 60098 | 2013-10-03 |
| 1669721783 | Robert Eugene Haraden | Dentist | 651 S. Eastwood Dr, Woodstock, IL 60098 | 2012-09-05 |
| 1831447440 | Carla Peltier | Social Worker | 101 South Jefferson Street, Woodstock, IL 60098 | 2012-08-29 |
| Find all providers in zip 60098 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457901340 | Esfahani Enterprises LLC | Counselor | 700 Churchill Ct Ste 110, Woodstock, GA 30188-6880 | 2019-09-12 |
| 1710548730 | Tabitha Doyle | Counselor | 203 Woodpark Pl Bldg B2, Woodstock, GA 30188-3705 | 2019-06-21 |
| 1285107524 | Melissa Floyd Hall | Counselor | 4595 Towne Lake Pkwy Ste 150, Woodstock, GA 30189-5514 | 2019-01-09 |
| 1922526987 | Mckenna Smith | Counselor | 2031 Willow Brooke Dr Apt 2c, Woodstock, IL 60098-5211 | 2017-08-30 |
| 1114465713 | Tranquility Counseling Services, LLC | Counselor | 8744 Main St, Suite 303, Woodstock, GA 30188-4926 | 2017-02-03 |
| 1144772690 | Daniel Reid | Counselor | 202 Swanee Ln, Woodstock, GA 30188-7802 | 2016-11-01 |
| 1417400854 | Chelsea Vlcek | Counselor | 1211 Mitchell St, Woodstock, IL 60098-3641 | 2016-08-02 |
| 1861844128 | Chelsea Lynn Hill | Counselor | 226 Allison Dr, Woodstock, GA 30188-5729 | 2016-07-11 |
| 1588020044 | Brenda Mcburnie | Counselor | 255grimes Road, Woodstock, GA 30188 | 2016-01-13 |
| 1033599279 | Leah Tamar Epelbaum | Counselor | 203 Woodpark Pl Bldg B2nd, Woodstock, GA 30188-3705 | 2015-06-03 |
| Find all providers in WOODSTOCK | ||||
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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.