FIRESIDE COUNSELING LLC (NPI# 1508258732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508258732 |
Entity Type | Organization |
Organization Name | FIRESIDE COUNSELING LLC |
Practice Address |
101 1/2 E Front St Suite 106 Wheaton IL 60187-5334 |
Practice Telephone | 6302397227 |
Mailing Telephone | 6302397227 |
Enumeration Date | 2015-02-25 |
Last Update Date | 2015-02-25 |
Authorized Official Name | MR. MARK L RAMIREZ (SR. STAFF THERAPIST) |
Authorized Official Telephone | 6302397227 |
Authorized Official Credential | MA, LCPC, LMFT |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
180000241 | IL | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447524285 | Fireside Counseling LLC | Psychologist | 9350 Oak Ave, Waconia, MN 55387-5500 | 2012-02-24 |
1629580139 | Fireside Counseling LLC | Social Worker | 5821 Staples Mill Rd, Richmond, VA 23228-5427 | 2017-10-25 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Virginia Business Entities | Fireside Counseling LLC | 5821 Staples Mill Rd, Richmond, Virginia 23228 |
Street Address |
101 1/2 E FRONT ST SUITE 106 |
City | WHEATON |
State | IL |
Zip Code | 60187-5334 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811510738 | Arielle Susan Kalvelage | Counselor | Central Public Health Center (cphc), 111 N. County Farm Road, Wheaton, IL 60187 | 2020-05-27 |
1801418363 | Peter Gerard Harvey | Acupuncturist | 200 East Willow Avenue, Suite 202, Wheaton, IL 60187 | 2020-05-07 |
1760028823 | Teresa Clasen | Counselor | 222 Willow Ave, Wheaton, IL 60187 | 2019-11-25 |
1821630757 | Eastern Healing Inc. | Acupuncturist | 200 E. Willow Ave., Suite 202, Wheaton, IL 60187 | 2019-10-11 |
1952816282 | Caprishea Jones | Counselor | 111 N County Farm Road, Wheaton, IL 60187 | 2017-12-08 |
1265880330 | Bryan Cairncross | Specialist/Technologist | 1503 Beecher Ave., Wheaton, IL 60187 | 2016-05-31 |
1811357544 | Patricia Diaz | Nurse Practitioner | 0n620 West Street, Wheaton, IL 60187 | 2016-02-23 |
1962819227 | Breakthrough Care Center | Clinic/Center | 150 E. Willow Ave, Ste 100, Wheaton, IL 60187 | 2014-07-18 |
1780005587 | Kyler Mulhauser | Counselor | 600 W. Roosevelt Rd, Suite A2, Wheaton, IL 60187 | 2013-12-20 |
1538593074 | Deborah Bates | Psychologist | 300 E Roosevelt Rd Ste 105, Wheaton, IL 60187 | 2013-08-31 |
Find all providers in zip 60187 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811510738 | Arielle Susan Kalvelage | Counselor | Central Public Health Center (cphc), 111 N. County Farm Road, Wheaton, IL 60187 | 2020-05-27 |
1760028823 | Teresa Clasen | Counselor | 222 Willow Ave, Wheaton, IL 60187 | 2019-11-25 |
1790329142 | Wayne G Hill | Counselor | 1746 Trent Ct, Wheaton, IL 60189-7726 | 2019-10-29 |
1679039481 | Kimberly Melton Lechner | Counselor | 319 S Naperville Rd Ste 203, Wheaton, IL 60187-5462 | 2019-02-17 |
1184103855 | Concierge Therapy Services | Counselor | 114 N Hale St, Wheaton, IL 60187-5152 | 2018-08-13 |
1639671241 | Elizabeth Bodett-dresser | Counselor | 115 N Main St Apt 2, Wheaton, IL 60187-5337 | 2018-02-28 |
1952816282 | Caprishea Jones | Counselor | 111 N County Farm Road, Wheaton, IL 60187 | 2017-12-08 |
1518330232 | Molly Ansari | Counselor | 2100 Manchester Rd Ste 400g, Wheaton, IL 60187-4593 | 2015-11-03 |
1952770091 | Mindy Rushford | Counselor | 208 N Erie St, Wheaton, IL 60187-4538 | 2015-09-18 |
1316337009 | Brittany Prioleau | Counselor | 11101 Georgia Ave Unit 551, Wheaton, MD 20902-7607 | 2015-02-02 |
Find all providers in WHEATON |
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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.