MOLLY JO COUNSELING & ART THERAPY INC (NPI# 1538673801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538673801 |
Entity Type | Organization |
Organization Name | MOLLY JO COUNSELING & ART THERAPY INC |
Practice Address |
2100 Manchester Rd Ste 400g Wheaton IL 60187-4593 |
Mailing Address |
854 Seminary Cir Glen Ellyn IL 60137-6158 |
Practice Telephone | 9206981886 |
Practice Fax Number | 9206981886 |
Mailing Telephone | 9206981886 |
Enumeration Date | 2017-11-25 |
Last Update Date | 2017-11-25 |
Authorized Official Name | MOLLY ANSARI (PRESIDENT) |
Authorized Official Telephone | 9206981886 |
Authorized Official Credential | LCPC, ATR |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
180009952 | IL | Ambulatory Health Care Facilities |
N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
180009952 | IL | Ambulatory Health Care Facilities |
Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
180009952 | IL | Ambulatory Health Care Facilities |
Street Address |
2100 MANCHESTER RD STE 400G |
City | WHEATON |
State | IL |
Zip Code | 60187-4593 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518330232 | Molly Ansari | Counselor | 2100 Manchester Rd Ste 400g, Wheaton, IL 60187-4593 | 2015-11-03 |
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 | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043860489 | Monarch Clinics, P.C. | Clinic/Center | 2100 Manchester Rd Ste 1080d, Wheaton, IL 60187-4794 | 2019-09-18 |
1952877227 | Legacy Counseling and Coaching, P.l.l.c. | Clinic/Center | 2100 Manchester Rd Ste 1616, Wheaton, IL 60187-4534 | 2018-10-15 |
1144486465 | County of Dupage Department of Health | Clinic/Center | 420 N County Farm Rd, Wheaton, IL 60187-3908 | 2008-08-06 |
1437181641 | Metropolitan Family Service | Clinic/Center | 222 E Willow Ave, Wheaton, IL 60187-5426 | 2006-07-07 |
1134110786 | County of Dupage Department of Health | Clinic/Center | 111 N County Farm Rd, Wheaton, IL 60187-3977 | 2005-11-02 |
1538527965 | Shilling Counseling, Ltd. | Clinic/Center | 2201 Warrenville Ave, Wheaton, IL 60189-7859 | 2016-01-30 |
1982083754 | County of Dupage Department of Health | Clinic/Center | 115 N County Farm Rd, Wheaton, IL 60187 | 2015-05-26 |
1699170001 | Healthcare Alternative Systems, Inc. | Clinic/Center | 373 S County Farm Rd, Wheaton, IL 60187-2403 | 2014-10-28 |
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1346848785 | Wellness Hearted Therapy LLC | Clinic/Center | 2675 S Cedar Glen Dr, Arlington Heights, IL 60005-5303 | 2020-10-16 |
1457959256 | Association for Individual Development | Clinic/Center | 708 N Bridge St, Yorkville, IL 60560-1105 | 2020-10-14 |
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1386241123 | Envision Unlimited | Clinic/Center | 1801 N Spaulding Ave, Chicago, IL 60647-4926 | 2020-10-05 |
1881291789 | Jessica Weisbach, LLC | Clinic/Center | 2257 N Kedzie Blvd Apt 3, Chicago, IL 60647-2561 | 2020-10-04 |
1619574803 | Envision Unlimited | Clinic/Center | 2124 W 82nd Pl, Chicago, IL 60620-5358 | 2020-10-01 |
1144827320 | Envision Unlimited | Clinic/Center | 4919 N Clark St, Chicago, IL 60640-3514 | 2020-10-01 |
1194322370 | Envision Unlimited | Clinic/Center | 4911 S Hoyne Ave, Chicago, IL 60609-4721 | 2020-10-01 |
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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.