SELENA GONZALEZ (NPI# 1528667391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528667391 |
| Entity Type | Individual |
| Full Name | SELENA GONZALEZ |
| Credential | NCC, LPC |
| Practice Address |
2755 N Pine Grove Ave Chicago IL 60614-6109 |
| Mailing Address |
3938 Torrence Ave Hammond IN 46327-1144 |
| Practice Telephone | 3122592665 |
| Mailing Telephone | 7732664242 |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2020-10-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
178.016347 | IL | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 611 W Briar Pl, Chicago, IL 606574812 | 3122592665 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164992616 | Selena Gonzalez | Behavior Technician | 3620 W Hammer Ln, Stockton, CA 95219-5435 | 2018-11-27 |
| 1154896025 | Selena Guadalajara Gonzalez | Behavioral Analyst | 11306 Sir Winston St, San Antonio, TX 78216-2467 | 2018-10-08 |
| 1053899039 | Selena J Gonzalez | Licensed Vocational Nurse | 613 W Sesame Dr, Harlingen, TX 78550-7930 | 2018-08-01 |
| Street Address |
2755 N PINE GROVE AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60614-6109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952485963 | Daniel Polin Wimsatt IIi | Social Worker | 2755 N Pine Grove Ave, Chicago, IL 60614-6109 | 2006-10-25 |
| 1598364788 | Payton Willis | Counselor | 2755 N Pine Grove Ave, Chicago, IL 60614-6109 | 2020-10-20 |
| 1528674967 | Danielle Farmer | Counselor | 2755 N Pine Grove Ave, Chicago, IL 60614-6109 | 2020-09-21 |
| 1598379612 | Brittany Cole | Counselor | 2755 N Pine Grove Ave, Chicago, IL 60614-6109 | 2020-09-04 |
| 1881207710 | Rebecca Fernandez | Counselor | 2755 N Pine Grove Ave, Chicago, IL 60614-6109 | 2020-08-29 |
| 1114542644 | Nicole Gabrielle Levine | Social Worker | 2755 N Pine Grove Ave, Chicago, IL 60614-6109 | 2020-06-10 |
| 1073151098 | Dawn Harris | Counselor | 2755 N Pine Grove Ave, Chicago, IL 60614-6109 | 2019-12-20 |
| 1306404546 | Rachel Marie Hagfors | Counselor | 2755 N Pine Grove Ave, Chicago, IL 60614-6109 | 2019-06-03 |
| 1639735848 | Kayla Reda | Counselor | 2755 N Pine Grove Ave, Chicago, IL 60614-6109 | 2019-05-13 |
| 1659836864 | Lynn Marie Wilhite | Social Worker | 2755 N Pine Grove Ave, Chicago, IL 60614-6109 | 2019-02-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487266516 | Taylor Connington | Pharmacist | 843 W Armitage Ave, Chicago, IL 60614 | 2020-08-19 |
| 1356975692 | Amarilis Diaz | Social Worker | Terry Hefter Associates, LLC, 1731 N. Marcey Suite 535, Chicago, IL 60614 | 2020-02-25 |
| 1457902975 | Michele Waggoner | Physical Therapist | 2515 N. Clark St, Chicago, IL 60614 | 2019-09-25 |
| 1669031936 | Justin Pomeroy | Acupuncturist | 1350 W. Schubert Ave., Chicago, IL 60614 | 2019-06-11 |
| 1801451547 | Amanda Harris | Counselor | 2451 N Lincoln Ave # 206, Chicago, IL 60614 | 2019-05-08 |
| 1780164574 | Danielle Trokey | Psychiatry & Neurology | 2515 N Clark St Ste 801, Chicago, IL 60614 | 2018-08-21 |
| 1841707353 | Madison Counseling Solutions LLC | Social Worker | 2502 N. Clark St., Chicago, IL 60614 | 2018-01-05 |
| 1386154011 | Allison Cooper Boyan | Occupational Therapist | 1640 N. Wells St., Unit 103, Chicago, IL 60614 | 2017-10-09 |
| 1245759653 | Eileen Davidson Siegel | Physician Assistant | 2073 N. Clybourn Ave., Chicago, IL 60614 | 2017-09-18 |
| 1447779814 | Elizabeth Hobart | Psychologist | 1800 W. Diversey Pkwy, Unit H, Chicago, IL 60614 | 2017-09-16 |
| Find all providers in zip 60614 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477579 | Shantrell Patrice Sutton | Counselor | 5042 W Erie St, Chicago, IL 60644-1604 | 2020-11-05 |
| 1073114591 | Alternative Schools Network | Counselor | 1807 W Sunnyside Ave, Chicago, IL 60640-5898 | 2020-11-02 |
| 1992306518 | Gravity and Grace Psychotherapy, Pllc | Counselor | 1305 S Michigan Ave Apt 602, Chicago, IL 60605-3398 | 2020-11-02 |
| 1811597263 | April Wilburne | Counselor | 804 E 54th St Apt 3, Chicago, IL 60615-4972 | 2020-10-27 |
| 1043810393 | Pamela Kranyak | Counselor | 30 N Michigan Ave Ste 925, Chicago, IL 60602-3463 | 2020-10-27 |
| 1003413378 | Erika Aguirre | Counselor | 5040 S Keating Ave., Chicago, IL 60632-4919 | 2020-10-08 |
| 1497361661 | Michael V Biederman | Counselor | 4254 N Mozart St Apt 2s, Chicago, IL 60618-1784 | 2020-09-22 |
| 1013523984 | Antionette Fisher | Counselor | 5703 S Peoria St, Chicago, IL 60621-2262 | 2020-09-16 |
| 1114532561 | Nefesh Counseling, LLC | Counselor | 3320 W Foster Ave # 124, Chicago, IL 60625-4813 | 2020-09-12 |
| 1114531043 | Katherine E Evans | Counselor | 1528 W Jonquil Ter Unit 2c, Chicago, IL 60626-5932 | 2020-09-08 |
| Find all providers in CHICAGO | ||||
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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.