NORTHERN LIGHTS GUIDANCE AND COUNSELING LLC (NPI# 1639525306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639525306 |
Entity Type | Organization |
Organization Name | NORTHERN LIGHTS GUIDANCE AND COUNSELING LLC |
Practice Address |
406 W Hawthorne Blvd Mundelein IL 60060-2606 |
Practice Telephone | 8479876421 |
Mailing Telephone | 8479876421 |
Enumeration Date | 2016-05-11 |
Last Update Date | 2016-06-24 |
Authorized Official Name | DR. ABBEY GRAVES (PSYCHOLOGIST CLINICAL) |
Authorized Official Telephone | 8479876421 |
Authorized Official Credential | PSY. D |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers |
Street Address |
406 W HAWTHORNE BLVD |
City | MUNDELEIN |
State | IL |
Zip Code | 60060-2606 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336655950 | Mundelein Dental Clinic LLC | Clinic/Center | 3074 Il-60, Mundelein, IL 60060 | 2017-12-19 |
1154845923 | Michelle Robin Wichter | Counselor | 1606 Woodhaven Ct., Mundelein, IL 60060 | 2017-08-02 |
1023556602 | Merry Walker Corporation | Durable Medical Equipment & Medical Supplies | 21350 West Sylvan Drive South, Mundelein, IL 60060 | 2017-02-03 |
1649656430 | Saze Community Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 26247 N. Maple Ave, Mundelein, IL 60060 | 2015-08-04 |
1639519101 | Megha Shah | Pharmacist | 3100 Route 60, Mundelein, IL 60060 | 2013-06-28 |
1427300540 | G A C Therapy Services Inc | In Home Supportive Care | 1041 Concord Circle, Mundelein, IL 60060 | 2012-10-12 |
1316202898 | Thomas W Pogue | Dentist | 287 N. Lake St, Mundelein, IL 60060 | 2012-07-10 |
1316221294 | Vernon Hills Physical Medicine, Service Corporation | Anesthesiology | 355 East Route 83, Mundelein, IL 60060 | 2011-10-10 |
1669701389 | Dui & Addiction Counseling Center | Community/Behavioral Health | 333 E. Illinois Route 83, B7, Mundelein, IL 60060 | 2009-12-08 |
1427281591 | Accuvision Inc | Optometrist | 824 North Illinois Route 83, Mundelein, IL 60060 | 2009-08-24 |
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Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336525575 | Karen O'keeffe | Psychologist | 2141 Fieldcrest Dr, Mundelein, IL 60060-5349 | 2015-08-10 |
1508191446 | Joann K. Nishimoto, Psyd, LLC | Psychologist | 510 N Lake St Ste 3, Mundelein, IL 60060-1800 | 2009-10-09 |
1598913220 | Joann Kendrick Nishimoto | Psychologist | 510 N Lake St, Mundelein, IL 60060-1865 | 2008-09-06 |
1821030024 | Robert M Pasen Phd PC | Psychologist | 201 E Park St, Unit B, Mundelein, IL 60060-1973 | 2006-06-12 |
1689199689 | Zhannah Vaysman | Psychologist | 201 E Park St Ste B, Mundelein, IL 60060-1973 | 2017-08-10 |
1679781710 | Bright Fellowes | Psychologist | 201 E Park St, Unit B, Mundelein, IL 60060-1973 | 2007-05-21 |
1164545836 | Neurobehavioral Health Connections, Ltd | Psychologist | 201 E Park St, Unit B, Mundelein, IL 60060-1973 | 2007-04-09 |
1265582993 | Jean Lee | Psychologist | 201 E Park St, Unit B, Mundelein, IL 60060-1973 | 2007-01-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821699166 | Jennifer Knuepfer, Psyd, Pllc | Psychologist | 4256 N Ravenswood Ave Ste 305, Chicago, IL 60613-1114 | 2020-11-03 |
1104426170 | Grace Giedgowd | Psychologist | 1640 W Division St Apt 205, Chicago, IL 60622-3939 | 2020-10-29 |
1417556283 | Kjp Alliance LLC | Psychologist | 16595 W Easton Ave Ste 1, Lincolnshire, IL 60069-2744 | 2020-10-22 |
1184223364 | Caroline Elisabeth Fulton | Psychologist | 1739 N Elston Ave, Chicago, IL 60642-1544 | 2020-10-20 |
1881293108 | Haley Michelle Sims | Psychologist | 65 E Wacker Pl Ste 300, Chicago, IL 60601-7203 | 2020-10-19 |
1083212005 | Amanda Michele Long | Psychologist | 20280 Governors Hwy Ste 105, Olympia Fields, IL 60461-1068 | 2020-10-12 |
1285231936 | Qianhui Zhang | Psychologist | 1225 W Morse Ave Apt 403, Chicago, IL 60626-5751 | 2020-10-06 |
1316544158 | Nancy Marie Picard | Psychologist | 4885 N Hermitage Ave, Chicago, IL 60640-4104 | 2020-10-05 |
1558978379 | Youngok Kim | Psychologist | 1260 Iroquois Ave Ste 204, Naperville, IL 60563-8548 | 2020-09-25 |
1861007049 | Heloisa Garman | Psychologist | 800 Elgin Rd Apt 1611, Evanston, IL 60201-5632 | 2020-09-14 |
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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.