PHOENIX FAMILY CENTER, LLC


Address: 474 Summit St, Elgin, IL 60120-3829
Phone: 2245353955

PHOENIX FAMILY CENTER, LLC (NPI# 1346736204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346736204
Entity Type Organization
Organization Name PHOENIX FAMILY CENTER, LLC
Practice Address 474 Summit St
Elgin
IL 60120-3829
Practice Telephone 2245353955
Practice Fax Number 2242413183
Mailing Telephone 2245353955
Mailing Fax Number 2242413183
Enumeration Date 2018-07-03
Last Update Date 2018-07-03
Authorized Official Name MICHELLE POTTER (CO-OWNER/THERAPIST)
Authorized Official Telephone 2245359555
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1467872820 Phoenix Family Center, LLC Community/Behavioral Health 474 Summit St, Elgin, IL 60120 2014-04-23

Office Location

Street Address 474 SUMMIT ST
City ELGIN
State IL
Zip Code 60120-3829

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154813939 Daniel C Mcfadden Social Worker 474 Summit St, Elgin, IL 60120-3829 2018-06-06
1093187593 Lauralynn Alton Counselor 474 Summit St, Elgin, IL 60120-3829 2015-10-22
1295135812 Suzanne Richoz Counselor 474 Summit St, Elgin, IL 60120-3829 2014-09-02
1467872820 Phoenix Family Center, LLC Community/Behavioral Health 474 Summit St, Elgin, IL 60120 2014-04-23
1548533821 Nancy Hanson Counselor 474 Summit St, Elgin, IL 60120-3829 2012-02-16
1467724245 Amber Bain Counselor 474 Summit St, Elgin, IL 60120-3829 2012-02-08
1992077796 David De La Fuente Counselor 474 Summit St, Elgin, IL 60120-3829 2012-02-08
1922370477 Janelle Marie Gray Counselor 474 Summit St, Elgin, IL 60120-3829 2012-01-30
1346512944 Guy Larson Counselor 474 Summit St, Elgin, IL 60120-3829 2012-01-30
1043519275 Katie L Hazek Social Worker 474 Summit St, Elgin, IL 60120 2011-03-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003391749 Kids Above All Clinic/Center United Methodist Church, 651 Lillie Street, Elgin, IL 60120 2018-09-28
1215483979 Kelly Fetherling Social Worker 6912 S Main St., Elgin, IL 60120 2016-08-31
1164870457 Peter Norton Pharmacist 1038 Summit Street, Elgin, IL 60120 2016-05-27
1417316373 Beverly Brewster Counselor 675 Varsity Dr., Elgin, IL 60120 2016-02-19
1407194780 Well Baby Care PC Pediatrics 1185-87 Dundee Avenue, Suite A-2, Elgin, IL 60120 2013-01-22
1740533546 Vna Health Care Clinic/Center 801 Villa Street, Elgin, IL 60120 2012-10-18
1457638934 Sharon Rose Nemenzo Araneta Physical Therapist 795 Summit St, Elgin, IL 60120 2011-11-10
1770866451 Claudette M Vanhessen Pharmacist 815 Summit Street, Elgin, IL 60120 2011-09-20
1083993430 Monica J. Fudala Family Medicine 820 Summit St # B4, Elgin, IL 60120 2011-08-16
1144517830 Complete Care Medical Center, S.c Family Medicine 373 Summit St Ste 100, Elgin, IL 60120 2011-07-01
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740743426 Life Advocates LLC Community/Behavioral Health 525 Silver Spoon Ln, Elgin, SC 29045-7102 2019-04-10
1184183873 Daystar Counseling & Consulting Services, LLC Community/Behavioral Health 7846 Us-277, Suite 3, Elgin, OK 73538 2019-03-13
1396168233 Association for Individual Development Community/Behavioral Health 695 S State St, Elgin, IL 60123 2014-01-29
1710222823 Youth Service Bureau of Illinois Valley Community/Behavioral Health 40 Du Page Ct Ste 400, Elgin, IL 60120-6418 2012-11-29
1477832244 Summit Schools, Inc. Community/Behavioral Health 333 W River Rd, Elgin, IL 60123-1572 2011-08-11
1740507821 Northwest Treatment Associates Community/Behavioral Health 1185 Dundee Ave Ste E1, Elgin, IL 60120-2233 2010-04-28
1811190564 Kairos Family Center, Inc. Community/Behavioral Health 240 Standish St, Elgin, IL 60123-6421 2007-06-08
1730629924 Association for Individual Development Community/Behavioral Health 120 S State St, Elgin, IL 60123-6403 2017-03-07
1790225050 It's About Change Sober Living, Inc. Community/Behavioral Health 995 Bode Rd, Elgin, IL 60120-4523 2017-03-06
1639614175 Mathers Recovery LLC Community/Behavioral Health 585 Tollgate Rd, Elgin, IL 60123-9323 2016-12-19
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Competitor

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City ELGIN
Zip Code 60120

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Dataset Information

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.

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