HIRAM KIRKENDALL (NPI# 1629496906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629496906 |
Entity Type | Organization |
Organization Name | HIRAM KIRKENDALL |
Practice Address |
510 Geneva Ave Bellwood IL 60104-1706 |
Practice Telephone | 6306978882 |
Enumeration Date | 2014-04-03 |
Last Update Date | 2014-04-03 |
Authorized Official Name | HIRAM KIRKENDALL KIRKENDALL (COUNSELOR) |
Authorized Official Telephone | 6306978882 |
Authorized Official Credential | LPC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | 178009377 | IL | Agencies |
Street Address |
510 GENEVA AVE |
City | BELLWOOD |
State | IL |
Zip Code | 60104-1706 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740690668 | Hiram Kirkendall Jr. | Counselor | 510 Geneva Ave, Bellwood, IL 60104 | 2014-04-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538682232 | Juanita Erica Williams | Non-emergency Medical Transport (VAN) | 622 Bohland Ave, Bellwood, IL 60104 | 2017-07-25 |
1548680887 | Edward Erlikh | Family Medicine | 456 25th Ave, Bellwood, IL 60104 | 2014-04-25 |
1649472333 | American Family Dental Care P.c | Dentist | 4209.st.charles Road, Bellwood, IL 60104 | 2007-06-04 |
1235291287 | Lary Michael Pane | Dentist | 4420 St Charles Road, Bellwood, IL 60104 | 2006-12-15 |
1356411136 | Westchester Family Dental Ltd | Dentist | 4 Westbrook Corporate Center Ste 102, Westchester, IL 60104 | 2006-11-08 |
1750450128 | Sethurama Muthuramaswami | Dentist | 4209.st. Charles Road, Bellwood, IL 60104 | 2006-11-07 |
1508966466 | Universal Transportation II | Secured Medical Transport (VAN) | 2843 Washington Blvd, Bellwood, IL 60104 | 2006-09-22 |
1437103512 | Modupe Oladeinde | Family Medicine | 619 South 25th Avenue, Bellwood, IL 60104 | 2006-05-21 |
1811533953 | United Methodist Homes and Services | Physical Therapist | 439 Bohland Ave, Bellwood, IL 60104 | 2019-11-25 |
1215273834 | Advanced Occupational Medicine Specialists | Internal Medicine | 2615 Harrison St, Bellwood, IL 60104 | 2012-12-31 |
Find all providers in zip 60104 |
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 |
---|---|---|---|---|
1104241249 | West Suburban Senior Services | Community/Behavioral Health | 439 Bohland Ave, Bellwood, IL 60104-1833 | 2014-02-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144820648 | Community Wellness Group | Community/Behavioral Health | 635 Argyle Ave, Flossmoor, IL 60422-1201 | 2020-10-26 |
1437758711 | Gina Baldacci, Lcsw, LLC | Community/Behavioral Health | 231 Longridge Dr, Bloomingdale, IL 60108 | 2020-10-19 |
1790383610 | Joni Lamb Therapy, LLC | Community/Behavioral Health | 1555 Sherman Ave # 308, Evanston, IL 60201-4421 | 2020-10-13 |
1811594906 | Everyday Empowered Clinical Services, Ltd. | Community/Behavioral Health | 5117 Main St, Suite #7, Downers Grove, IL 60515 | 2020-10-02 |
1942817150 | Pacem Wellness, LLC | Community/Behavioral Health | 8 Eagle Ctr Ste 12, O Fallon, IL 62269-1947 | 2020-09-30 |
1831703271 | Boules Clinical Psychology Group | Community/Behavioral Health | 200 S Frontage Rd Ste 324, Burr Ridge, IL 60527-6953 | 2020-09-02 |
1336753896 | Counseling Kennedy Shenberg | Community/Behavioral Health | 5752 N Campbell Ave Apt 1, Chicago, IL 60659-5080 | 2020-09-02 |
1265045371 | Brightside Recovery | Community/Behavioral Health | 1667 Belvidere Rd, Belvidere, IL 61008-9306 | 2020-08-28 |
1902419021 | Brightside Recovery | Community/Behavioral Health | 8041 186th St Ste B, Tinley Park, IL 60487-9344 | 2020-08-28 |
1700498573 | Bobby E. Wright Comprehensive Behavioral Health Center, Inc. | Community/Behavioral Health | 5816 W Division St Fl 1, Chicago, IL 60651-1003 | 2020-08-21 |
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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.