CASSIDY LEA SERAFIN (NPI# 1366904690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366904690 |
| Entity Type | Individual |
| Full Name | CASSIDY LEA SERAFIN |
| Practice Address |
4501 Prime Pkwy Mchenry IL 60050-7000 |
| Mailing Address |
1021 N Mulford Rd Rockford IL 61107-3877 |
| Practice Telephone | 8153636132 |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2019-04-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
4501 PRIME PKWY |
| City | MCHENRY |
| State | IL |
| Zip Code | 60050-7000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144585803 | Rosecrance Inc | Clinic/Center | 4501 Prime Pkwy, Mchenry, IL 60050 | 2012-07-09 |
| 1558928036 | Samantha Alvarado | Counselor | 4501 Prime Pkwy, Mchenry, IL 60050-7000 | 2019-05-21 |
| 1932661253 | Lawonda P Miller | Counselor | 4501 Prime Pkwy, Mchenry, IL 60050-7000 | 2019-04-04 |
| 1295294403 | Sydney Smith | Social Worker | 4501 Prime Pkwy, Mchenry, IL 60050-7000 | 2019-03-18 |
| 1215410766 | Kaitlin Armon | Counselor | 4501 Prime Pkwy, Mchenry, IL 60050-7000 | 2018-09-11 |
| 1740762913 | Rebecca Anne Bleeker | Counselor | 4501 Prime Pkwy, Mchenry, IL 60050-7000 | 2018-09-04 |
| 1518446574 | Jasmine Pasimio | Counselor | 4501 Prime Pkwy, Mchenry, IL 60050-7000 | 2018-08-10 |
| 1285156406 | Heather Fisher | Counselor | 4501 Prime Pkwy, Mchenry, IL 60050-7000 | 2017-07-10 |
| 1447618129 | Rosecrance, Inc. | Clinic/Center | 4501 Prime Pkwy, Mchenry, IL 60050-7000 | 2016-02-09 |
| 1972968154 | Calie Anderson | Counselor | 4501 Prime Pkwy, Mchenry, IL 60050-7000 | 2015-12-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932728003 | Tco Jv, LLC | Skilled Nursing Facility | 550 Ridgeview Drive, Mchenry, IL 60050 | 2020-04-09 |
| 1992274971 | Lisa Luedtke | Counselor | 5342 West Elm Street, Mchenry, IL 60050 | 2018-11-19 |
| 1013402825 | Fox Ridge Medical Associates, LLC | Internal Medicine | 3633 Municipal Dr, Mchenry, IL 60050 | 2018-06-25 |
| 1700387065 | Richard Stacy Birmantas | Speech-Language Pathologist | 6515 West Route 120, Mchenry, IL 60050 | 2018-02-22 |
| 1659888774 | Kathleen Mather | Speech-Language Pathologist | 3502 Washington St, Mchenry, IL 60050 | 2018-01-10 |
| 1891205605 | Delorean Mckinney | Psychologist | 4031 Dayton Ave, Mchenry, IL 60050 | 2017-10-06 |
| 1851810741 | Diana Park | Pharmacist | 2253 N. Richmond Rd., Mchenry, IL 60050 | 2017-09-12 |
| 1063931921 | Lauren M Young | Counselor | 4031 W. Dayton Street, Mchenery, IL 60050 | 2017-09-12 |
| 1376086264 | Elizabeth Kathleen Zacher | Social Worker | 4100 W Dayton Street, Mchenry, IL 60050 | 2016-11-23 |
| 1700332491 | Jasmine Elias | Social Worker | 4031 Dayton St, Mchenry, IL 60050 | 2016-09-01 |
| Find all providers in zip 60050 | ||||
| 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 |
|---|---|---|---|---|
| 1700281235 | Theresa Joan Contos | Counselor | 618 South Route Highway 31, Suite 2, Mchenry, IL 60050 | 2014-10-27 |
| 1467668061 | Lori Baker | Counselor | 4100 Veteran Parkway, Mchenry, IL 60050 | 2007-05-14 |
| 1699389643 | Summer Brunson | Counselor | 5404 W Elm St Ste H, Mchenry, IL 60050-4007 | 2020-09-06 |
| 1558928036 | Samantha Alvarado | Counselor | 4501 Prime Pkwy, Mchenry, IL 60050-7000 | 2019-05-21 |
| 1598321622 | Jaimie V Senese | Counselor | 5404 W Elm St, Mchenry, IL 60050-4052 | 2019-05-14 |
| 1932661253 | Lawonda P Miller | Counselor | 4501 Prime Pkwy, Mchenry, IL 60050-7000 | 2019-04-04 |
| 1215410766 | Kaitlin Armon | Counselor | 4501 Prime Pkwy, Mchenry, IL 60050-7000 | 2018-09-11 |
| 1740762913 | Rebecca Anne Bleeker | Counselor | 4501 Prime Pkwy, Mchenry, IL 60050-7000 | 2018-09-04 |
| 1780183566 | Nadia Jamison | Counselor | 5342 W Elm St, Mchenry, IL 60050-4029 | 2018-02-07 |
| 1750891263 | Elizabeth Ruth Wilber | Counselor | 5400 W Elm St, Mchenry, IL 60050-4010 | 2017-10-10 |
| Find all providers in MCHENRY | ||||
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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.