MCHENRY COUNTY MENTAL HEALTH BOARD (NPI# 1598912149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598912149 |
| Entity Type | Organization |
| Organization Name | MCHENRY COUNTY MENTAL HEALTH BOARD |
| Practice Address |
5320 W Elm St Mchenry IL 60050-4029 |
| Mailing Address |
620 Dakota St Crystal Lake IL 60012-3732 |
| Practice Telephone | 8157884360 |
| Mailing Telephone | 7154552828 |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2010-08-12 |
| Authorized Official Name | MRS. ALEXANDRIA LEWIS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8154552828 |
| Is Organization Subpart | Y |
| Parent Organization Name | COUNTY OF MCHENRY ILLINOIS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 009 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376671461 | Mchenry County Mental Health Board | Clinic/Center | 620 Dakota St, Crystal Lake, IL 60012-3732 | 2007-03-01 |
| 1154579068 | Mchenry County Mental Health Board | Clinic/Center | 620 Dakota St, Crystal Lake, IL 60012-3732 | 2008-09-04 |
| 1134377328 | Mchenry County Mental Health Board | Clinic/Center | 2200 N Seminary Ave, Annex A, Woodstock, IL 60098-2637 | 2008-09-03 |
| 1902053655 | Mchenry County Mental Health Board | Clinic/Center | 527 W South St, Woodstock, IL 60098-3756 | 2008-08-25 |
| Street Address |
5320 W ELM ST |
| City | MCHENRY |
| State | IL |
| Zip Code | 60050-4029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932728003 | Tco Jv, LLC | Skilled Nursing Facility | 550 Ridgeview Drive, Mchenry, IL 60050 | 2020-04-09 |
| 1992274971 | Lisa Luedtke | Counselor | 5342 West Elm Street, Mchenry, IL 60050 | 2018-11-19 |
| 1013402825 | Fox Ridge Medical Associates, LLC | Internal Medicine | 3633 Municipal Dr, Mchenry, IL 60050 | 2018-06-25 |
| 1700387065 | Richard Stacy Birmantas | Speech-Language Pathologist | 6515 West Route 120, Mchenry, IL 60050 | 2018-02-22 |
| 1659888774 | Kathleen Mather | Speech-Language Pathologist | 3502 Washington St, Mchenry, IL 60050 | 2018-01-10 |
| 1891205605 | Delorean Mckinney | Psychologist | 4031 Dayton Ave, Mchenry, IL 60050 | 2017-10-06 |
| 1851810741 | Diana Park | Pharmacist | 2253 N. Richmond Rd., Mchenry, IL 60050 | 2017-09-12 |
| 1063931921 | Lauren M Young | Counselor | 4031 W. Dayton Street, Mchenery, IL 60050 | 2017-09-12 |
| 1376086264 | Elizabeth Kathleen Zacher | Social Worker | 4100 W Dayton Street, Mchenry, IL 60050 | 2016-11-23 |
| 1700332491 | Jasmine Elias | Social Worker | 4031 Dayton St, Mchenry, IL 60050 | 2016-09-01 |
| Find all providers in zip 60050 | ||||
| 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 |
|---|---|---|---|---|
| 1932754447 | Association for Individual Development | Clinic/Center | 3512 Pearl St, Mchenry, IL 60050-4442 | 2019-08-02 |
| 1114457850 | The Tabor Therapy Group, Inc | Clinic/Center | 5400 W Elm St Suite 104, Suite 104, Mchenry, IL 60050-6005 | 2017-06-15 |
| 1538650692 | Sutton Smith | Clinic/Center | 5342 W Elm St, Mchenry, IL 60050-4029 | 2018-05-24 |
| 1457841660 | The Tabor Therapy Group, Inc. | Clinic/Center | 5404 W Elm St Ste H, Mchenry, IL 60050-4007 | 2018-05-14 |
| 1023546710 | The Tabor Therapy Group, Inc. | Clinic/Center | 5404 W Elm St Ste H, Mchenry, IL 60050-4007 | 2017-05-25 |
| 1063773372 | North Central Behavioral Health Systems, Inc | Clinic/Center | 4100 Veterans Pkwy, Mchenry, IL 60050-8350 | 2012-06-04 |
| 1437424116 | North Central Behavioral Health Systems,inc. | Clinic/Center | 4100 Veterans Pkwy, Mchenry, IL 60050-8350 | 2012-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225639990 | Mindy Forman, Psyd, LLC | Clinic/Center | 1020 Milwaukee Ave Ste 110, Deerfield, IL 60015-3555 | 2020-11-07 |
| 1346840295 | Stopka Professional Counseling LLC | Clinic/Center | 13125 Steeplechase Dr, New Lenox, IL 60451-1320 | 2020-10-29 |
| 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 |
| 1285231555 | Association for Individual Development | Clinic/Center | 236 W Crystal Lake Ave, Crystal Lake, IL 60014-5847 | 2020-10-08 |
| 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 |
| 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.