THERAPY STUDIO (NPI# 1518502251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518502251 |
| Entity Type | Organization |
| Organization Name | THERAPY STUDIO |
| Practice Address |
295 W Division St Coal City IL 60416-1581 |
| Practice Telephone | 8155150010 |
| Practice Fax Number | 7085900759 |
| Mailing Telephone | 8155150010 |
| Mailing Fax Number | 7085900759 |
| Enumeration Date | 2019-11-15 |
| Last Update Date | 2020-01-29 |
| Authorized Official Name | TRACY STONE (OWNER) |
| Authorized Official Telephone | 7089065246 |
| Authorized Official Credential | LCPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 102L00000X | Psychoanalyst | Behavioral Health & Social Service Providers | ||
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 103TC1900X |
Psychologist Specialization: Counseling |
Behavioral Health & Social Service Providers | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NPI | 1164805297 | 01 |
| Street Address |
295 W DIVISION ST |
| City | COAL CITY |
| State | IL |
| Zip Code | 60416-1581 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164805297 | Tracy Stone | Counselor | 295 W Division St, Coal City, IL 60416-1581 | 2015-07-07 |
| 1689286296 | Dawn Maria Wolfe | Counselor | 295 W Division St, Coal City, IL 60416-1581 | 2020-08-17 |
| 1841809050 | Stephanie Ann Putman | Counselor | 295 W Division St, Coal City, IL 60416-1581 | 2020-07-24 |
| 1770102477 | Angela Jean Zenere | Counselor | 295 W Division St, Coal City, IL 60416-1581 | 2020-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245759083 | Jenna Valentine | Counselor | 40 N Broadway Street, Coal City, IL 60416 | 2017-09-13 |
| 1518042688 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 245 S Broadway Street, Coal City, IL 60416 | 2006-10-26 |
| 1912919259 | Daniel Martin Jurak | Family Medicine | 935 E Division St, Diamond, IL 60416 | 2006-08-13 |
| 1538653894 | Natalie A Palka | Nurse Practitioner | 5775 E State Route 113, Coal City, IL 60416 | 2018-06-20 |
| 1437235447 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 245 S Broadway Street, Coal City, IL 60416 | 2006-10-31 |
| 1144745100 | Amanda Patten | Speech-Language Pathologist | 300 N Broadway St, Coal City, IL 60416-1043 | 2017-08-10 |
| 1467487975 | Roman M Smyk | Surgery | 460 N Broadway St, Coal City, IL 60416-1045 | 2006-07-12 |
| 1144471772 | Spyro D. Analytis, Mdpc | Internal Medicine | 460 N Broadway St, Coal City, IL 60416-1045 | 2008-10-01 |
| 1487729430 | John D Scala Md PC | Pediatrics | 460 N Broadway St, Coal City, IL 60416-1045 | 2006-11-22 |
| 1821201575 | Pullara Family Dental Center | Dentist | 595 N Broadway St, Coal City, IL 60416-1046 | 2007-05-08 |
| Find all providers in zip 60416 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245759083 | Jenna Valentine | Counselor | 40 N Broadway Street, Coal City, IL 60416 | 2017-09-13 |
| 1164805297 | Tracy Stone | Counselor | 295 W Division St, Coal City, IL 60416-1581 | 2015-07-07 |
| 1912510967 | Jenna Ann Taylor | Counselor | 40 N Broadway St, Coal City, IL 60416-1688 | 2020-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780602 | Saba Aqel | Counselor | 107 W Van Buren St Ste 215, Chicago, IL 60605-1054 | 2020-11-05 |
| 1124629696 | Audra Murphy | Counselor | 1020 E Ogden Ave Ste 204, Naperville, IL 60563-8610 | 2020-11-02 |
| 1811597412 | Mindy Marie Eastling | Counselor | 27240 Dutton Rd, Beecher, IL 60401-5054 | 2020-11-01 |
| 1306446307 | Oak Point Counseling, Pllc | Counselor | 1207 Mchenry Rd Ste 217b, Buffalo Grove, IL 60089-1371 | 2020-10-28 |
| 1508466061 | Kathrin Simac | Counselor | 900 Royal Heights Rd # 2150, Belleville, IL 62226-5457 | 2020-10-26 |
| 1669071288 | Kristin Smith Warden | Counselor | 566 Cedar St, Winnetka, IL 60093-2338 | 2020-10-24 |
| 1538768155 | Angelicare LLC | Counselor | 6650 N Northwest Hwy Ste 215, Chicago, IL 60631-1363 | 2020-10-23 |
| 1568061612 | Donnie L Winget | Counselor | 536 N Division St, Carterville, IL 62918-1006 | 2020-10-20 |
| 1013516145 | Modern Soul Therapy LLC | Counselor | 2000 N Racine Ave Ste 2160, Chicago, IL 60614-4045 | 2020-10-20 |
| 1861090433 | Ruth Elaine Rayfield | Counselor | 418 North Center Street, Apt# 206, South Elgin, IL 60177 | 2020-10-15 |
| 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.