MS. GLORIA C CENTENO (NPI# 1447737424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447737424 |
| Entity Type | Individual |
| Full Name | MS. GLORIA C CENTENO |
| Credential | BS |
| Practice Address |
8324 Skokie Blvd Skokie IL 60077-2545 |
| Practice Telephone | 8479330051 |
| Practice Fax Number | 8479330057 |
| Mailing Telephone | 8479330051 |
| Mailing Fax Number | 8479330057 |
| Enumeration Date | 2018-07-23 |
| Last Update Date | 2018-07-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
8324 SKOKIE BLVD |
| City | SKOKIE |
| State | IL |
| Zip Code | 60077-2545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780664029 | Norwil C Frial-lopez | Psychologist | 8324 Skokie Blvd, Skokie, IL 60077 | 2006-01-20 |
| 1619592458 | Sophia Irene Starks | Social Worker | 8324 Skokie Blvd, Skokie, IL 60077-2545 | 2020-06-08 |
| 1528697802 | Johanna Fierke | Social Worker | 8324 Skokie Blvd, Skokie, IL 60077-2545 | 2020-04-07 |
| 1376179598 | Thalia Saldivar | Counselor | 8324 Skokie Blvd, Skokie, IL 60077-2545 | 2020-03-19 |
| 1225661606 | William Brady | Counselor | 8324 Skokie Blvd, Skokie, IL 60077-2545 | 2020-02-13 |
| 1073159802 | Erica Danielle Brown | Counselor | 8324 Skokie Blvd, Skokie, IL 60077-2545 | 2019-11-27 |
| 1083259964 | Hali Garber | Counselor | 8324 Skokie Blvd, Skokie, IL 60077-2545 | 2019-11-14 |
| 1295370443 | Sara Bradley | Counselor | 8324 Skokie Blvd, Skokie, IL 60077-2545 | 2019-11-12 |
| 1508401860 | Gloria Feliciano Feltman | Social Worker | 8324 Skokie Blvd, Skokie, IL 60077-2545 | 2019-11-11 |
| 1255976528 | Ramie Bou-saab | Counselor | 8324 Skokie Blvd, Skokie, IL 60077-2545 | 2019-11-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740835347 | Tharani Theivakumar | Dentist | 5225 W. Touhy Ave, Skokie, IL 60077 | 2019-08-09 |
| 1780179838 | Total Renal Care Inc | Clinic/Center | 8950 Gross Point Rd Ste 300, Skokie, IL 60077 | 2018-06-29 |
| 1811481070 | Joseph Rubin | Counselor | 7929 Lincoln Ave Ste 202, Skokie, IL 60077 | 2018-06-20 |
| 1245721067 | Lipnick Orthopaedics S.c. | Orthopaedic Surgery | 4856 Oakton Street, Skokie, IL 60077 | 2018-05-29 |
| 1376034991 | Karen Bradley | Nurse Practitioner | 5143 Coyle Ave, Skokie, IL 60077 | 2018-05-21 |
| 1093217036 | Arnold Arellano | Pedorthist | 5202 Old Orchard Road, N100, Skokie, IL 60077 | 2018-03-06 |
| 1043722408 | Carolyn Mary Jarozewski I | Registered Nurse | 5250 N.old Orchard Road Suite 300, 5250 N.old Orchard Road Suite 300, Skokie, IL 60077 | 2017-10-25 |
| 1841718400 | Katie Kluga | Nurse Practitioner | 9977 Woods Drive Suite 300, Skokie, IL 60077 | 2017-09-05 |
| 1265950091 | Larry Asher Sidel | Counselor | 9530 Lamon Pl.apt 110, Skokie, IL 60077 | 2017-08-31 |
| 1578088639 | Eleni Toumplis | Pharmacist | 4955 Dempster St, Skokie, IL 60077 | 2017-08-10 |
| Find all providers in zip 60077 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437759701 | Dianna Michelle Castleberry | Peer Specialist | 1166 Mason St, Barry, IL 62312-1137 | 2020-10-27 |
| 1275130452 | Christa Eastburn | Peer Specialist | 30 N Michigan Ave # 420424, Chicago, IL 60602-3402 | 2020-10-01 |
| 1639783244 | Edward Michael Maher IIi | Peer Specialist | 1900 E Main St, Danville, IL 61832-5100 | 2020-09-01 |
| 1083107759 | Heather Lee White | Peer Specialist | 750 Broadway Ave E, Mattoon, IL 61938-4610 | 2018-06-07 |
| 1154853638 | Kelsey E Neale | Peer Specialist | 405 Central Ave, Northfield, IL 60093-3006 | 2017-04-03 |
| 1891235024 | Juliette Maria Rigdon | Peer Specialist | 12 Health Services Dr, Dekalb, IL 60115-9637 | 2017-03-07 |
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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.