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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | Agencies |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467872820 | Phoenix Family Center, LLC | Community/Behavioral Health | 474 Summit St, Elgin, IL 60120 | 2014-04-23 |
Street Address |
474 SUMMIT ST |
City | ELGIN |
State | IL |
Zip Code | 60120-3829 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 60120 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
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] |
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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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.