JACQUELINE ZARTLER (NPI# 1639698772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639698772 |
| Entity Type | Individual |
| Full Name | JACQUELINE ZARTLER |
| Credential | LPC |
| Practice Address |
310 W Chicago Ave Chicago IL 60654-5106 |
| Practice Telephone | 3129436545 |
| Practice Fax Number | 7083626217 |
| Mailing Telephone | 3129436545 |
| Mailing Fax Number | 7083626217 |
| Enumeration Date | 2017-09-10 |
| Last Update Date | 2017-09-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 178012485 | IL | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
178012485 | IL | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
178012485 | IL | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
178012485 | IL | Behavioral Health & Social Service Providers |
| Street Address |
310 W CHICAGO AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60654-5106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124102611 | Family Guidance Centers, Inc. | Clinic/Center | 310 W Chicago Ave, Chicago, IL 60654-5106 | 2006-10-24 |
| 1992346019 | Michael David State | Counselor | 310 W Chicago Ave, Chicago, IL 60654-5106 | 2019-09-30 |
| 1669013843 | Brian J Fagan | Counselor | 310 W Chicago Ave, Chicago, IL 60654-5106 | 2019-09-30 |
| 1548801780 | Sophia Hountalas | Counselor | 310 W Chicago Ave, Chicago, IL 60654-5106 | 2019-09-30 |
| 1609427848 | Chelsea Hope Dowling | Counselor | 310 W Chicago Ave, Chicago, IL 60654-5106 | 2019-09-27 |
| 1437700689 | Rachel Etshokin | Counselor | 310 W Chicago Ave, Chicago, IL 60654-5106 | 2019-09-27 |
| 1255982401 | Chelsea Belinsky | Counselor | 310 W Chicago Ave, Chicago, IL 60654-5106 | 2019-09-27 |
| 1285285445 | Anya Ravitz | Counselor | 310 W Chicago Ave, Chicago, IL 60654-5106 | 2019-09-27 |
| 1356810477 | Johanna Jelenek | Counselor | 310 W Chicago Ave, Chicago, IL 60654-5106 | 2018-11-19 |
| 1972098408 | Gregory James Kulik | Counselor | 310 W Chicago Ave, Chicago, IL 60654-5106 | 2018-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912523564 | Male-order Men's Health LLC | Pharmacy | 710 N. Dearborn St., Chicago, IL 60654 | 2020-06-19 |
| 1669014924 | Tanner John Magee | Chiropractor | 415 N. Lasalle St., Suite 605, Chicago, IL 60654 | 2019-10-08 |
| 1144873886 | Fraeda Friedman | Social Worker | 451 N Lasalle Dr, Chicago, IL 60654 | 2019-07-22 |
| 1568024040 | Robin Elizabeth Miller | Dietitian, Registered | 770 North Lasalle Street, Suite 800, Chicago, IL 60654 | 2019-07-03 |
| 1487115804 | Ontario Street Operatory Fac | Clinic/Center | 22 W Ontario Street Operatory, Chicago, IL 60654 | 2019-03-28 |
| 1134697683 | Ghazal Kermani | Dentist | 350 North Clark Street, Suite 600, Chicago, IL 60654 | 2018-11-02 |
| 1225516842 | Tyler Jonathan Hinkel | Radiology | 33 W Ontario St Apt 46f, Chicago, IL 60654 | 2018-08-06 |
| 1710495312 | Mia Zarlengo | Dietitian, Registered | 770 N Lasalle Dr, 800, Chicago, IL 60654 | 2018-01-17 |
| 1568970341 | Kelly Lyons | Acupuncturist | 770 N Lasalle St., Suite 800, Chicago, IL 60654 | 2018-01-16 |
| 1407367568 | Amy Mcnicholas | Counselor | 721 N Lasalle, Chicago, IL 60654 | 2017-10-17 |
| Find all providers in zip 60654 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780602 | Saba Aqel | Counselor | 107 W Van Buren St Ste 215, Chicago, IL 60605-1054 | 2020-11-05 |
| 1538768155 | Angelicare LLC | Counselor | 6650 N Northwest Hwy Ste 215, Chicago, IL 60631-1363 | 2020-10-23 |
| 1013516145 | Modern Soul Therapy LLC | Counselor | 2000 N Racine Ave Ste 2160, Chicago, IL 60614-4045 | 2020-10-20 |
| 1477151942 | Mansukh Sandhu | Counselor | 8765 W Higgins Rd Ste 450, Chicago, IL 60631-4172 | 2020-10-15 |
| 1881291920 | Freddy Reyes | Counselor | 931 W Leland Ave Apt 405, Chicago, IL 60640-6611 | 2020-10-01 |
| 1508463704 | Tynisha Jointer | Counselor | 7710 S Saint Lawrence Ave, Chicago, IL 60619-2925 | 2020-10-01 |
| 1851908206 | Manqual Chambers | Counselor | 2801 S King Dr, Chicago, IL 60616-2949 | 2020-09-29 |
| 1184231672 | Francesca Cottone | Counselor | 1616 N Nordica Ave, Chicago, IL 60707-4317 | 2020-09-28 |
| 1952916322 | Elle Skelton | Counselor | 2219 N Seeley Ave Apt 3f, Chicago, IL 60647-3363 | 2020-09-13 |
| 1437764305 | Donita M Lester | Counselor | 7022 S South Shore Dr Apt 214, Chicago, IL 60649-2229 | 2020-09-09 |
| Find all providers in CHICAGO | ||||
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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.