KAITLYNN ELIZABETH MARTIN (NPI# 1417587544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417587544 |
| Entity Type | Individual |
| Full Name | KAITLYNN ELIZABETH MARTIN |
| Practice Address |
671 S Lewis Ave Waukegan IL 60085-6101 |
| Mailing Address |
2065 Half Day Rd Deerfield IL 60015-1241 |
| Practice Telephone | 8477824000 |
| Enumeration Date | 2020-01-16 |
| Last Update Date | 2020-01-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
671 S LEWIS AVE |
| City | WAUKEGAN |
| State | IL |
| Zip Code | 60085-6101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295154813 | Catholic Charities of The Archdiocese of Chicago | Counselor | 671 S Lewis Ave, Waukegan, IL 60085-6101 | 2014-04-10 |
| 1669071833 | Erica Slattery | Counselor | 671 S Lewis Ave, Waukegan, IL 60085-6101 | 2020-10-20 |
| 1073124269 | Erika Denny | Social Worker | 671 S Lewis Ave, Waukegan, IL 60085-6101 | 2020-08-12 |
| 1457962615 | Samantha Tomasello | Counselor | 671 S Lewis Ave, Waukegan, IL 60085-6101 | 2020-08-12 |
| 1558972836 | Dawid Tryba | Social Worker | 671 S Lewis Ave, Waukegan, IL 60085-6101 | 2020-08-11 |
| 1962026971 | Jennifer Rae Flanagan | Counselor | 671 S Lewis Ave, Waukegan, IL 60085-6101 | 2020-06-04 |
| 1336798636 | Marilyn Hernandez | Counselor | 671 S Lewis Ave, Waukegan, IL 60085-6101 | 2019-09-09 |
| 1528615366 | Jackie Machamer | Student in an Organized Health Care Education/Training Program | 671 S Lewis Ave, Waukegan, IL 60085-6101 | 2019-08-26 |
| 1245883727 | Janeth Brindis | Social Worker | 671 S Lewis Ave, Waukegan, IL 60085-6101 | 2019-07-23 |
| 1174176663 | Chakeysha Jasmine Mckinney-lyons | Counselor | 671 S Lewis Ave, Waukegan, IL 60085-6101 | 2019-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285285189 | Allison Rose Matuszewski | Speech-Language Pathologist | Robbie M. Lightfoot, 1721 N Mcaree Rd, Waukegan, IL 60085 | 2019-09-23 |
| 1164985602 | Kristin Kaprak | Speech-Language Pathologist | Thomas Jefferson Middle School, 600 S. Lewis, Waukegan, IL 60085 | 2019-04-11 |
| 1861972317 | Mitchum Smith | Student in an Organized Health Care Education/Training Program | 2025 Washington Street, Waukegan, IL 60085 | 2018-08-15 |
| 1447702998 | Rachel Martinez | Registered Nurse | 3002 Grand Ave., Waukegan, IL 60085 | 2016-11-01 |
| 1831649250 | Kenneth Caples | Specialist/Technologist | 211 S County St, Waukegan, IL 60085 | 2016-10-10 |
| 1033666490 | Catholic Charities of The Archdiocese of Chicago | Community/Behavioral Health | 671 S. Lewis Ave., Waukegan, IL 60085 | 2016-09-02 |
| 1285007757 | Michael Moore | Counselor | 1113 Greenwood Ave, Waukegan, IL 60085 | 2015-11-05 |
| 1740656503 | Emperatriz Guerra | Counselor | 329 N. Genesee Street, Waukegan, IL 60085 | 2015-08-17 |
| 1992189880 | County of Lake | Clinic/Center | 540 S. Mcalister Ave., Waukegan, IL 60085 | 2015-07-10 |
| 1922406354 | Ebele Okonkwor | Nurse Anesthetist, Certified Registered | 1324 N. Sheridan, Waukegan, IL 60085 | 2014-12-17 |
| Find all providers in zip 60085 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528679297 | Gina Marie Torre | Counselor | 2505 Washington St., Waukegan, IL 60085-6008 | 2020-08-14 |
| 1790383511 | Lorraine Eileen Waller | Counselor | 2025 Washington St, Waukegan, IL 60085-5131 | 2020-10-14 |
| 1013520873 | Steven C Poland | Counselor | 415 Washington St Ste 200, Waukegan, IL 60085-5564 | 2020-08-30 |
| 1477165090 | David Quintel Howery | Counselor | 3010 Grand Ave, Waukegan, IL 60085-2321 | 2020-08-17 |
| 1457962615 | Samantha Tomasello | Counselor | 671 S Lewis Ave, Waukegan, IL 60085-6101 | 2020-08-12 |
| 1346850575 | Andrea Leilani Kowitz | Counselor | 2410 Belvidere Rd, Waukegan, IL 60085-6165 | 2020-08-03 |
| 1962026971 | Jennifer Rae Flanagan | Counselor | 671 S Lewis Ave, Waukegan, IL 60085-6101 | 2020-06-04 |
| 1548892417 | Akilah Yates | Counselor | 2400 Belvidere Rd, Waukegan, IL 60085-6165 | 2020-02-10 |
| 1548807373 | Thomas Lamar Wise-bey | Counselor | 3002 Grand Ave, Waukegan, IL 60085-2321 | 2019-11-27 |
| 1669017711 | Matthew David Pikus | Counselor | 3002 Grand Ave, Waukegan, IL 60085-2321 | 2019-11-13 |
| Find all providers in WAUKEGAN | ||||
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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.