AMY DOUGLASS (NPI# 1427442607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427442607 |
| Entity Type | Individual |
| Full Name | AMY DOUGLASS |
| Credential | LMFT |
| Practice Address |
1002 N 129th Infantry Dr Ste F Joliet IL 60435-3109 |
| Mailing Address |
2234 Willow Rd Homewood IL 60430-3221 |
| Practice Telephone | 8158238460 |
| Practice Fax Number | 8158238461 |
| Mailing Telephone | 7085399864 |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2020-08-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639610785 | Amy Douglass | Pharmacist | 9026 Jefferson Hwy Ste 101, Baton Rouge, LA 70809-2432 | 2017-03-09 |
| 1356782601 | Amy Douglass | Emergency Medicine | 365 Montauk Ave, New London, CT 06320-4769 | 2013-07-16 |
| 1003154329 | Amy Michelle Douglass | Speech-Language Pathologist | 521 Ne 25th Ave, Ocala, FL 34470-7034 | 2013-01-21 |
| Street Address |
1002 N 129TH INFANTRY DR STE F |
| City | JOLIET |
| State | IL |
| Zip Code | 60435-3109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205489036 | Serenity Counseilng Services | Community/Behavioral Health | 1002 N 129th Infantry Dr Ste F, Joliet, IL 60435-3109 | 2019-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851889018 | Chime Ajiere | Nurse Practitioner | 511 Theodore St, Joliet, IL 60435 | 2018-04-24 |
| 1740791284 | Melanie Presnak | Speech-Language Pathologist | 1207 N Larkin Ave, Joliet, IL 60435 | 2017-10-23 |
| 1831618883 | Jeriel Marsena Quarles | Licensed Practical Nurse | 1617 W Jefferson Street, Joliet, IL 60435 | 2017-09-11 |
| 1053769760 | Cody Hutchinson | Physical Therapy Assistant | 2943 W Jefferson St, Joliet, IL 60435 | 2016-06-03 |
| 1659748549 | Megan Ryab | Massage Therapist | 501 Wilcox St, Joliet, IL 60435 | 2015-08-26 |
| 1922416197 | Kodo Care, Inc. | Pharmacy | 221 Springfield Avenue, Suite A, Joliet, IL 60435 | 2014-07-31 |
| 1528489739 | My Family Doc LLC | Family Medicine | 2001-03 Essington Rd, Joliet, IL 60435 | 2013-12-16 |
| 1184973869 | R A Lombardi Dds PC | Dentist | 3011 Theodore St., Joliet, IL 60435 | 2012-09-10 |
| 1245546076 | Kelly Rae Lesemann | Chiropractor | 1011 Essington Road, Joliet, IL 60435 | 2010-08-31 |
| 1932413697 | Ann E Todd | Optometrist | 1521 Essington Road, Everything In Sight, Joliet, IL 60435 | 2010-08-04 |
| Find all providers in zip 60435 | ||||
| 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 |
|---|---|---|---|---|
| 1265076426 | Magaly Passos-hoke | Marriage & Family Therapist | 210 N Hammes Ave, Joliet, IL 60435-6680 | 2019-10-31 |
| 1619267259 | Meghan Grzetich | Marriage & Family Therapist | 1150 Essington Rd, Joliet, IL 60435 | 2011-04-16 |
| 1417107244 | Kristin Leigh Tenuta | Marriage & Family Therapist | 3033 W Jefferson St, Joliet, IL 60435-5261 | 2008-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073112595 | Shira Galston LLC | Marriage & Family Therapist | 2941 W Lunt Ave, Chicago, IL 60645-2919 | 2020-10-26 |
| 1568061075 | Caitlin Suzanne Sickler | Marriage & Family Therapist | 311 N 2nd St Ste 203, St Charles, IL 60174-1850 | 2020-10-26 |
| 1124627005 | Sparkle L Nicks | Marriage & Family Therapist | 10508 Churchill Dr, Peoria, IL 61615-1178 | 2020-10-21 |
| 1689272304 | Victoria Annette Barrows | Marriage & Family Therapist | 3036 W Irving Park Rd Fl 2, Chicago, IL 60618-3539 | 2020-10-14 |
| 1326646449 | Stephen Patrick Stewart | Marriage & Family Therapist | 4539 S Indiana Ave Apt 3, Chicago, IL 60653-5244 | 2020-10-12 |
| 1083220107 | Michaela Margaret Choy | Marriage & Family Therapist | 1165 N Clark St Ste 411, Chicago, IL 60610-7473 | 2020-09-23 |
| 1770199861 | Hana Yoo | Marriage & Family Therapist | 201 E Ogden Ave Ste 217, Hinsdale, IL 60521-3612 | 2020-09-23 |
| 1376158220 | Janea N Vinson | Marriage & Family Therapist | 501 E 32nd St Apt 908, Chicago, IL 60616-4076 | 2020-09-08 |
| 1467065672 | Life Balance Counseling Peoria, Pllc | Marriage & Family Therapist | 8305 N Allen Rd Ste 6, Peoria, IL 61615-1816 | 2020-08-26 |
| 1700497559 | Elisabeth Sanders | Marriage & Family Therapist | 302 W Green St, Bensenville, IL 60106-2410 | 2020-08-14 |
| Find all providers with the same taxonomy | ||||
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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.