FORWARD EMOTION, LLC (NPI# 1336634856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336634856 |
Entity Type | Organization |
Organization Name | FORWARD EMOTION, LLC |
Practice Address |
3060 Ogden Ave Ste 102 Lisle IL 60532 |
Mailing Address |
3060 Ogden Ave Ste 102 Lisle IL 60532-1686 |
Practice Telephone | 6309998236 |
Mailing Telephone | 6309998236 |
Enumeration Date | 2018-06-27 |
Last Update Date | 2018-07-18 |
Authorized Official Name | LAURA ANN CLAY (THERAPIST AND MANAGING MEMBER/OWNER) |
Authorized Official Telephone | 6309998236 |
Authorized Official Credential | LCPC, ATR |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YM0800X |
Counselor Specialization: Mental Health |
180.008646 | IL | Behavioral Health & Social Service Providers |
Y | 101YP2500X |
Counselor Specialization: Professional |
180.008646 | IL | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CAQH | 12707302 | 01 |
Street Address |
3060 OGDEN AVE STE 102 |
City | LISLE |
State | IL |
Zip Code | 60532 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104423375 | Poorna Inc | In Home Supportive Care | 3060 Ogden Ave Ste 102, Lisle, IL 60532-1686 | 2020-10-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326675760 | Contemporary Wellness, LLC | Counselor | 4300 Commerce Court, Suite 300-9, Lisle, IL 60532 | 2020-03-25 |
1841825510 | Ih Lisle Opco, LLC | Skilled Nursing Facility | 2850 Ogden Avenue, Lisle, IL 60532 | 2020-03-03 |
1598305849 | Peter Sismour | Counselor | 4603 Main Street, Lisle, IL 60532 | 2020-01-14 |
1801397179 | David Rodemaker | Psychologist | 1500 Eisenhower Lane, Suite 300, Lisle, IL 60532 | 2018-02-22 |
1801325139 | Naperville Psychological Associates LLC | Psychologist | 6010 S Route 59, Suite B, Lisle, IL 60532 | 2017-06-09 |
1831649730 | Paige Diesner | Physician Assistant | 430 Warrenville Rd., Ste 300, Lisle, IL 60532 | 2016-10-04 |
1174978860 | Lisa Schaedler | Social Worker | 4774 Hill Trail Rd Apt 2c, Lisle, IL 60532 | 2016-04-29 |
1831578962 | Farah Budd | Occupational Therapist | 748 Riedy Rd, Lisle, IL 60532 | 2015-05-21 |
1649602822 | Marie Ann Markham Gonzalez | Developmental Therapist | 5629 Dover Dr, Lisle, IL 60532 | 2013-07-30 |
1851639371 | Health Delivery Management, LLC | Pharmacy | 430 Warrenville Road, Lisle, IL 60532 | 2013-01-17 |
Find all providers in zip 60532 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881200186 | Rachel Joplin | Counselor | 650 Warrenville Rd Ste 100, Lisle, IL 60532-4315 | 2020-09-22 |
1275193187 | James Derr | Counselor | 4513 Lincoln Ave Ste 102, Lisle, IL 60532-1290 | 2019-06-13 |
1235521733 | Amy Glinke | Counselor | 1101 Kimberly Way, Lisle, IL 60532-0008 | 2015-02-21 |
1821400854 | Sheila Corbett | Counselor | 1810 Portsmouth Dr, Lisle, IL 60532-4107 | 2014-05-26 |
1376985028 | Laura Ann Clay | Counselor | 1440 Maple Ave Ste 2b, Lisle, IL 60532-4136 | 2013-07-23 |
1699734632 | Philip Martinez | Counselor | 5950 Lincoln Ave, Unit W, Lisle, IL 60532-3104 | 2006-03-20 |
1710956263 | Bonnie C Buratto | Counselor | 2915 Scott Ct, Lisle, IL 60532-4412 | 2006-03-16 |
1639778269 | Caroline Michelle Hanlet | Counselor | 1500 Eisenhower Ln Ste 900, Lisle, IL 60532-2135 | 2020-10-24 |
1902404650 | Breanna Todd | Counselor | 4745 Main St Ste 207, Lisle, IL 60532-1758 | 2020-10-14 |
1821632910 | Logan Danielle Chambers | Counselor | 4745 Main St Ste 207, Lisle, IL 60532-1758 | 2019-10-31 |
Find all providers in LISLE |
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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.