AUNT MARTHA'S YOUTH SERVICE CENTER INC (NPI# 1619201613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619201613 |
| Entity Type | Organization |
| Organization Name | AUNT MARTHA'S YOUTH SERVICE CENTER INC |
| Practice Address |
620 Wing St Elgin IL 60123-2800 |
| Mailing Address |
19990 Governors Hwy Olympia Fields IL 60461-1021 |
| Practice Telephone | 8476084250 |
| Practice Fax Number | 8474687680 |
| Mailing Telephone | 7087477100 |
| Mailing Fax Number | 7087470710 |
| Enumeration Date | 2009-09-23 |
| Last Update Date | 2010-12-02 |
| Authorized Official Name | MR. CHRISTOPHER J NORDLOH (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 7087477100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588821532 | Aunt Martha's Youth Service Center Inc | Clinic/Center | 20301 Cottage Grove Ave, Chicago Heights, IL 60411-9667 | 2008-05-19 |
| 1235572751 | Aunt Martha's Youth Service Center Inc | Foster Care Agency | 1 N Center St, Joliet, IL 60435-7407 | 2013-04-15 |
| 1174809503 | Aunt Martha's Youth Service Center Inc | Clinic/Center | 1301 Copperfield Avenue, Suite 201, Joliet, IL 60432-2056 | 2011-10-31 |
| 1396070520 | Aunt Martha's Youth Service Center Inc | Community/Behavioral Health | 1777 E Court St, Kankakee, IL 60901-2670 | 2009-10-06 |
| 1043544141 | Aunt Martha's Youth Service Center Inc | Community/Behavioral Health | 718 N Bridge St, Yorkville, IL 60560-1105 | 2009-09-23 |
| 1205067923 | Aunt Martha's Youth Service Center Inc | Clinic/Center | 64 W 162nd St, Dental Suite, South Holland, IL 60473-2061 | 2009-07-29 |
| 1063678530 | Aunt Martha's Youth Service Center Inc | Clinic/Center | 1941 Selmarten Rd, Aurora, IL 60505-1337 | 2008-08-04 |
| 1538339411 | Aunt Martha's Youth Service Center Inc | Community/Behavioral Health | 1777 E Court St, Kankakee, IL 60901-2670 | 2008-03-06 |
| Street Address |
620 WING ST |
| City | ELGIN |
| State | IL |
| Zip Code | 60123-2800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629102819 | Vna Health Care | Clinic/Center | 620 Wing St, Elgin, IL 60123-2800 | 2007-03-16 |
| 1144871039 | Rachel Turuc | Marriage & Family Therapist | 620 Wing St, Elgin, IL 60123-2800 | 2019-09-23 |
| 1811488752 | Jordan L Spinazzola | Social Worker | 620 Wing St, Elgin, IL 60123-2800 | 2018-05-26 |
| 1679024061 | Codie Surratt | Counselor | 620 Wing St, Elgin, IL 60123 | 2016-10-20 |
| 1194275958 | Bionca Martin | Social Worker | 620 Wing St, Unit 3, Elgin, IL 60123-2800 | 2016-10-05 |
| 1992253413 | Aleksandra Ciezak | Student in an Organized Health Care Education/Training Program | 620 Wing St, Unit 3, Elgin, IL 60123-2800 | 2016-09-13 |
| 1114472271 | Sally Burke | Counselor | 620 Wing St, Unit 3, Elgin, IL 60123-2800 | 2016-08-18 |
| 1851845499 | Ellen Dial | Specialist | 620 Wing St, Elgin, IL 60123-2800 | 2016-08-11 |
| 1386198950 | Sandra Schoeneich | Marriage & Family Therapist | 620 Wing St, Unit 3, Elgin, IL 60123-2800 | 2016-08-11 |
| 1275800047 | Rina Cecilia Gonzalez-albazzaz | Dentist | 620 Wing St, Elgin, IL 60123-2800 | 2011-11-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629625736 | Edna Lopez | Social Worker | 1140 N. Mclean Blvd #1, Elgin, IL 60123 | 2019-08-22 |
| 1003472259 | Katelyn Lee O'connell | Counselor | 695 S. Sate Street, Elgin, IL 60123 | 2019-05-14 |
| 1598235152 | Katie Elizabeth Dwyer | Counselor | 695 S. State Street, Elgin, IL 60123 | 2018-11-27 |
| 1174002778 | James M Accetta | Counselor | 52 Surry Drive, Elgin, IL 60123 | 2018-08-14 |
| 1770086175 | Griswold Home Care | Adult Companion | 707 A Davis Road, Suite 203, Elgin, IL 60123 | 2018-03-12 |
| 1003315706 | Danielle Bryant | Nurse Practitioner | 745 Fletcher Dr Ste 101, Elgin, IL 60123 | 2018-02-08 |
| 1912421470 | Deborah Foshager | Counselor | 680 Shenandoah Trail, Elgin, IL 60123 | 2017-07-26 |
| 1760903470 | Miguel Camargo | Specialist/Technologist | 12 N Aldine St, Elgin, IL 60123 | 2017-07-03 |
| 1134658594 | David Sommer | Counselor | 1460 Umbdenstock Rd, Elgin, IL 60123 | 2017-06-08 |
| 1649719618 | Faheem Unisa Syed | Clinical Nurse Specialist | 1990 Larkin Ave., Elgin, IL 60123 | 2017-02-23 |
| Find all providers in zip 60123 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740743426 | Life Advocates LLC | Community/Behavioral Health | 525 Silver Spoon Ln, Elgin, SC 29045-7102 | 2019-04-10 |
| 1184183873 | Daystar Counseling & Consulting Services, LLC | Community/Behavioral Health | 7846 Us-277, Suite 3, Elgin, OK 73538 | 2019-03-13 |
| 1396168233 | Association for Individual Development | Community/Behavioral Health | 695 S State St, Elgin, IL 60123 | 2014-01-29 |
| 1710222823 | Youth Service Bureau of Illinois Valley | Community/Behavioral Health | 40 Du Page Ct Ste 400, Elgin, IL 60120-6418 | 2012-11-29 |
| 1477832244 | Summit Schools, Inc. | Community/Behavioral Health | 333 W River Rd, Elgin, IL 60123-1572 | 2011-08-11 |
| 1740507821 | Northwest Treatment Associates | Community/Behavioral Health | 1185 Dundee Ave Ste E1, Elgin, IL 60120-2233 | 2010-04-28 |
| 1811190564 | Kairos Family Center, Inc. | Community/Behavioral Health | 240 Standish St, Elgin, IL 60123-6421 | 2007-06-08 |
| 1346736204 | Phoenix Family Center, LLC | Community/Behavioral Health | 474 Summit St, Elgin, IL 60120-3829 | 2018-07-03 |
| 1730629924 | Association for Individual Development | Community/Behavioral Health | 120 S State St, Elgin, IL 60123-6403 | 2017-03-07 |
| 1790225050 | It's About Change Sober Living, Inc. | Community/Behavioral Health | 995 Bode Rd, Elgin, IL 60120-4523 | 2017-03-06 |
| Find all providers in ELGIN | ||||
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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.