MELISSA CATHERINE LUDZACK (NPI# 1417471533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417471533 |
| Entity Type | Individual |
| Full Name | MELISSA CATHERINE LUDZACK |
| Credential | LMFT |
| Practice Address |
1120 E Main St Ste 201 St Charles IL 60174 |
| Mailing Address |
1120 E Main St Ste 201 St Charles IL 60174-2287 |
| Practice Telephone | (630) 377-6613 |
| Practice Fax Number | 6303776225 |
| Mailing Telephone | 6303776613 |
| Mailing Fax Number | 6303776225 |
| Enumeration Date | 2017-07-31 |
| Last Update Date | 2019-06-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 166.001234 | IL | Behavioral Health & Social Service Providers |
| Street Address |
1120 E MAIN ST STE 201 |
| City | ST CHARLES |
| State | IL |
| Zip Code | 60174 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407949951 | James R Otepka | Marriage & Family Therapist | 1120 E Main St Ste 201, St Charles, IL 60174-2287 | 2006-10-02 |
| 1174124747 | Ingo Weigold | Counselor | 1120 E Main St Ste 201, St Charles, IL 60174-2287 | 2020-11-02 |
| 1639710775 | Annie Marie Musgraves | Counselor | 1120 E Main St Ste 201, St Charles, IL 60174 | 2019-09-30 |
| 1497215396 | Marko Tunjic | Counselor | 1120 E Main St Ste 201, St Charles, IL 60174-2287 | 2019-03-25 |
| 1801369848 | Toussaint David Whetstone | Psychologist | 1120 E Main St Ste 201, St Charles, IL 60174-2287 | 2019-01-02 |
| 1780152777 | Lindsay Jackson | Counselor | 1120 E Main St Ste 201, St Charles, IL 60174-2287 | 2018-11-07 |
| 1891274577 | Kimberly Dawn Eldridge | Social Worker | 1120 E Main St Ste 201, St Charles, IL 60174-2287 | 2018-08-13 |
| 1477071736 | Cameron Keith Young | Counselor | 1120 E Main St Ste 201, St Charles, IL 60174 | 2017-09-06 |
| 1841713997 | Sarah Elizabeth Carroll Turner | Counselor | 1120 E Main St Ste 201, St Charles, IL 60174-2287 | 2017-07-20 |
| 1174045827 | Eileen C Sullivan | Social Worker | 1120 E Main St Ste 201, St Charles, IL 60174-2287 | 2017-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306474192 | Halinas Residential Home Care | Registered Nurse | 825 North Fifth Avenue, St. Charles, IL 60174 | 2020-03-29 |
| 1205354503 | Connor Lavallie | Chiropractor | 240 W River Dr, St Charles, IL 60174 | 2017-09-07 |
| 1427579952 | Melanie Elizabeth Long | Counselor | 5n147 Oak Leaf Ct, St Charles, IL 60174 | 2017-07-06 |
| 1255860656 | Hannah Elizabeth Gambrel | Counselor | 12 South 7th Avenue, St. Charles, IL 60174 | 2017-06-08 |
| 1275981490 | Anju Patel | Pharmacist | 2038 Praire St, St. Charles, IL 60174 | 2016-05-27 |
| 1316328529 | Allison Jensen | Dentist | 11 S. 2nd Ave #11, St. Charles, IL 60174 | 2015-06-12 |
| 1225466576 | Chelsea Wright | Social Worker | 522 W Main St Unit 2d, St Charles, IL 60174 | 2013-10-24 |
| 1114261427 | Bryan R. Cichon Dds PC | Dentist | 700 S. Randall Rd., Suite #1, St. Charles, IL 60174 | 2012-11-27 |
| 1124372289 | Stacey Lynn Conner | Developmental Therapist | 910 Manley Rd, St. Charles, IL 60174 | 2012-10-28 |
| 1093070567 | St. Charles Service Corporation | Physical Therapist | 1615 W. Main Street, St. Charles, IL 60174 | 2012-07-10 |
| Find all providers in zip 60174 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568061075 | Caitlin Suzanne Sickler | Marriage & Family Therapist | 311 N 2nd St Ste 203, St Charles, IL 60174-1850 | 2020-10-26 |
| 1891063038 | Angella Macdonald | Marriage & Family Therapist | 240 S 5th Ave, Ste. A, St Charles, IL 60174-2905 | 2011-12-02 |
| 1407949951 | James R Otepka | Marriage & Family Therapist | 1120 E Main St Ste 201, St Charles, IL 60174-2287 | 2006-10-02 |
| 1487640454 | Kenneth Kuhn | Marriage & Family Therapist | 311 N 2nd St Ste 304, St Charles, IL 60174-1853 | 2005-09-23 |
| 1891395976 | Alexis Garza | Marriage & Family Therapist | 311 N 2nd St Ste 203, St Charles, IL 60174-1850 | 2020-10-28 |
| 1619484425 | Erica Marie Bell | Marriage & Family Therapist | 311 N 2nd St Ste 304, St Charles, IL 60174-1853 | 2018-01-02 |
| 1801340518 | Lauren Mollica | Marriage & Family Therapist | 201 Cedar Ave, St Charles, IL 60174-2025 | 2016-08-10 |
| 1437544798 | John Jacob Wett | Marriage & Family Therapist | 104 S 2nd Ave, St Charles, IL 60174-1932 | 2015-04-03 |
| 1891045795 | Jacob Alan Johnson | Marriage & Family Therapist | 1120 E Main St, Suite 201, St Charles, IL 60174-2287 | 2012-09-18 |
| 1063716074 | Kathryn Lesley Ditch | Marriage & Family Therapist | 226 State St, St Charles, IL 60174-1864 | 2011-01-05 |
| Find all providers in ST CHARLES | ||||
| City | ST CHARLES |
| Zip Code | 60174 |
Please comment or provide details below to improve the information on MELISSA CATHERINE LUDZACK.
| 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.