MS. THERESE M DONNERS (NPI# 1346372315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346372315 |
| Entity Type | Individual |
| Full Name | MS. THERESE M DONNERS |
| Credential | LCPC |
| Practice Address |
10725 S Western Ave Second Floor Chicago IL 60643-3135 |
| Mailing Address |
11415 S Fairfield Ave Chicago IL 60655-1906 |
| Practice Telephone | 7734459848 |
| Mailing Telephone | 7734459848 |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS NUMBER | 0001622780 | 01 |
| Street Address |
10725 S WESTERN AVE SECOND FLOOR |
| City | CHICAGO |
| State | IL |
| Zip Code | 60643-3135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306866132 | Patricia Joan Harthun | Counselor | 10725 S Western Ave, 2nd Floor, Chicago, IL 60643-3135 | 2006-07-21 |
| 1205474475 | New Directions Therapy, Ltd. | Community/Behavioral Health | 10725 S Western Ave, Chicago, IL 60643-3217 | 2019-12-18 |
| 1841836962 | Love Yogaself Therapy LLC | Community/Behavioral Health | 10725 S Western Ave, Chicago, IL 60643-3135 | 2019-11-24 |
| 1982249850 | Chrysanthemum Counseling, Ltd | Social Worker | 10725 S Western Ave, Chicago, IL 60643-3135 | 2019-11-14 |
| 1972002483 | James Thomas Peltzer II | Counselor | 10725 S Western Ave, Chicago, IL 60643-3135 | 2018-02-09 |
| 1275075632 | Pete Hardy | Counselor | 10725 S Western Ave, Chicago, IL 60643-3135 | 2016-11-15 |
| 1841741048 | Shavaughn Carey | Social Worker | 10725 S Western Ave, Chicago, IL 60643-3135 | 2016-10-23 |
| 1316498561 | Basarida Wellness, LLC | Social Worker | 10725 S Western Ave, 2nd Floor, Chicago, IL 60643-3135 | 2016-10-21 |
| 1295198141 | Dennis Klacko | Counselor | 10725 S Western Ave, Chicago, IL 60643-3135 | 2016-03-29 |
| 1710360458 | Patricia Harthun Lcpc Ltd | Counselor | 10725 S Western Ave, 2nd Floor, Chicago, IL 60643-3135 | 2015-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154941698 | Breann Hampton | Behavior Technician | 1214 W 115th St, Chicago, IL 60643 | 2020-04-24 |
| 1366075566 | Sanctuary Counseling, LLC | Home Health | 12247 S Racine Ave, Calumet Park, IL 60643 | 2020-02-16 |
| 1467082883 | Juliana Frances Cunningham | Developmental Therapist | 10037 S Bell, Chicago, IL 60643 | 2020-01-24 |
| 1013578624 | Sct Counseling | Counselor | 11948 S Western Ave, Chicago, IL 60643 | 2019-06-25 |
| 1073087474 | For Eyes Optical Company of Pa | Optometrist | 9900 S Ridgleland Ave, Chicago Ridge, IL 60643 | 2019-01-18 |
| 1073096426 | Derek Peake | Physical Therapist | 9465 S. Western Road, Chicago, IL 60643 | 2018-09-12 |
| 1508356072 | Halo Medical Professionals Sc. | Chiropractor | 10650 S Western Ave, Chicago, IL 60643 | 2018-05-10 |
| 1811405699 | Kara Eileen Noland | Developmental Therapist | 9327 S Hamilton Ave, Chicago, IL 60643 | 2018-01-16 |
| 1588173546 | Kiah Nicole Bouie | Behavioral Analyst | 1461 W 113th Pl, Chicago, IL 60643 | 2017-09-21 |
| 1174042766 | Travis Wade Robertson | Physical Therapist | 10909-11 S Western Ave, Beverly, IL 60643 | 2017-09-14 |
| Find all providers in zip 60643 | ||||
| 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 |
|---|---|---|---|---|
| 1366058075 | Allyssa Rose Bertram | Counselor | 4055 W Peterson Ave Ste 202, Chicago, IL 60646-6183 | 2020-09-17 |
| 1952914707 | Tara Ufer | Counselor | 400 W Deming Pl Apt 9g, Chicago, IL 60614-1702 | 2020-08-30 |
| 1104439694 | Alisa Williams | Counselor | 409 E 62nd St, Chicago, IL 60637-6097 | 2020-08-25 |
| 1730791492 | Forward Intentions Therapy LLC | Counselor | 1309 N Ashland Ave, Chicago, IL 60622-8744 | 2020-08-23 |
| 1184232183 | Isaac William Samuelson | Counselor | 3058 W Cortland St Apt 2, Chicago, IL 60647-5075 | 2020-07-16 |
| 1346861242 | Hannah Conner | Counselor | 2756 N Pine Grove Ave Apt 705, Chicago, IL 60614-6167 | 2020-05-01 |
| 1881215804 | Pamela Ann Brazelton-sykes | Counselor | Pioneer Gardens Supportive Living, 3800 S King Dr, Chicago, IL 60653 | 2020-04-30 |
| 1619597259 | Charles Chevell Hurt | Counselor | 1606 W Wallen Ave Apt 1, Chicago, IL 60626-6592 | 2020-04-23 |
| 1851911580 | Jessica C Baran | Counselor | 5200 S Blackstone Ave Apt 401, Chicago, IL 60615-6011 | 2020-04-22 |
| 1659907350 | Lauren Graner | Counselor | 2845 N Sheridan Rd # 708, Chicago, IL 60657-7227 | 2020-03-14 |
| Find all providers in CHICAGO | ||||
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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.