THE ASSOCIATION FOR INDIVIDUAL DEVELOPMENT (NPI# 1679900690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679900690 |
| Entity Type | Organization |
| Organization Name | THE ASSOCIATION FOR INDIVIDUAL DEVELOPMENT |
| Practice Address |
1230 Pearl St Aurora IL 60505-4519 |
| Practice Telephone | 6309664498 |
| Enumeration Date | 2013-10-04 |
| Last Update Date | 2013-10-04 |
| Authorized Official Name | JILLIAN EMILY BRUNNER (MENTAL HEALTH PROFESSIONAL) |
| Authorized Official Telephone | 6309817632 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| Street Address |
1230 PEARL ST |
| City | AURORA |
| State | IL |
| Zip Code | 60505-4519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225280340 | Associaiton for Individual Development | Community/Behavioral Health | 1230 Pearl St, Aurora, IL 60505-4519 | 2008-10-21 |
| 1194343053 | Andrea Mae Daley | Counselor | 1230 Pearl St, Aurora, IL 60505-4519 | 2020-07-08 |
| 1457986127 | Brianna Marie Powers | Counselor | 1230 Pearl St, Aurora, IL 60505-4519 | 2020-03-03 |
| 1871133652 | Shope Jimoh | Social Worker | 1230 Pearl St, Aurora, IL 60505-4519 | 2020-01-09 |
| 1609411180 | Sonia Lina Richardson | Counselor | 1230 Pearl St, Aurora, IL 60505-4519 | 2019-11-08 |
| 1558914317 | Nicholas Michael Shilney | Counselor | 1230 Pearl St, Aurora, IL 60505-4519 | 2019-07-22 |
| 1346893112 | Samantha E Draves | Counselor | 1230 Pearl St, Aurora, IL 60505-4519 | 2019-07-22 |
| 1144886995 | Nikki Ann Ondyak | Counselor | 1230 Pearl St, Aurora, IL 60505-4519 | 2019-05-17 |
| 1952869885 | Daniella Fredericks | Counselor | 1230 Pearl St, Aurora, IL 60505-4519 | 2019-03-11 |
| 1578042529 | Tess Elizabeth Wilson | Counselor | 1230 Pearl St, Aurora, IL 60505-4519 | 2018-08-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538705330 | Johnathan Dunn | Counselor | 140 S. Lincoln Ave., Aurora, IL 60505 | 2019-11-27 |
| 1720638224 | Latanya Rush | Technician | 1664 Briarheath Dr, Aurora, IL 60505 | 2019-09-17 |
| 1285282103 | Susan Burroway | Technician | 815 Pearl St., Aurora, IL 60505 | 2019-09-04 |
| 1629624499 | Jean Amanda Nalwoga | Counselor | 1305 E New Indian Trail, Aurora, IL 60505 | 2019-08-16 |
| 1760987515 | Eric Raul Simental | Preventive Medicine | 1014 Claim St, Aurora, IL 60505 | 2018-03-26 |
| 1518408426 | Oluwole Michael Olubajo | Nurse's Aide | 716 Mountain Street, Apt#2e, Aurora, IL 60505 | 2017-03-10 |
| 1881017960 | Anthony Maranto | Counselor | 1305 E. Indian Trail Ct., Aurora, IL 60505 | 2014-01-27 |
| 1891121141 | Smithhealthcare Properties | Assisted Living Facility | 105 E Galena Bvld #3, Aurora, IL 60505 | 2013-09-18 |
| 1003253865 | Laura A Romero | Speech-Language Pathologist | 1770 Daisy St, Aurora, IL 60505 | 2013-06-03 |
| 1972878197 | Donald C. Kellner Dds-aurora PC | Dentist | 143 South Lincoln Ave, Suite A, Aurora, IL 60505 | 2012-03-21 |
| Find all providers in zip 60505 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417191693 | Aunt Martha's Youth Service Center, Inc | Community Based Residential Treatment Facility, Mental Illness | 123 Salt Lake St, Aurora, IL 60506 | 2009-05-01 |
| 1093312837 | Aurora Comprehensive Community Mental Health Center | Community Based Residential Treatment Facility, Mental Illness | 16390 E 14th Pl, Aurora, CO 80011-7411 | 2020-10-05 |
| 1437756624 | Aurora Comprehensive Community Mental Health Center | Community Based Residential Treatment Facility, Mental Illness | 51 Lima St, Aurora, CO 80010-4616 | 2020-10-01 |
| 1811435035 | Centoria Thompson | Community Based Residential Treatment Facility, Mental Illness | 11059 E Bethany Dr, Aurora, CO 80014-2622 | 2017-02-08 |
| 1679025951 | Rudy Balquin | Community Based Residential Treatment Facility, Mental Illness | 15001 E Oxford Ave, Aurora, CO 80014-4186 | 2016-11-02 |
| 1790113132 | Rasheta Butler | Community Based Residential Treatment Facility, Mental Illness | 1230 Pearl St, Aurora, IL 60505-4519 | 2013-10-22 |
| 1275896037 | Maxim | Community Based Residential Treatment Facility, Mental Illness | 17908 E Amherst Ave, Aurora, CO 80013-2122 | 2012-06-18 |
| 1104124148 | Excelsior Youth Center | Community Based Residential Treatment Facility, Mental Illness | 15001 E Oxford Ave, Aurora, CO 80014-4186 | 2011-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245851690 | Brown Health Care Solutions LLC | Community Based Residential Treatment Facility, Mental Illness | 7330 S Blackstone Ave, Chicago, IL 60619-2150 | 2020-04-27 |
| 1376187617 | Haven Pointe L3c | Community Based Residential Treatment Facility, Mental Illness | 4056 W 115th St Apt 100, Chicago, IL 60655-4333 | 2019-10-30 |
| 1386285682 | Monte Nido Illinois, LLC | Community Based Residential Treatment Facility, Mental Illness | 28w510 Washington Ave, Winfield, IL 60190-1537 | 2019-10-08 |
| 1285281188 | Demetrious Walker | Community Based Residential Treatment Facility, Mental Illness | 2430 Athens Rd, Olympia Fields, IL 60461-1954 | 2019-08-25 |
| 1093209264 | Lester & Rosalie Anixter Center | Community Based Residential Treatment Facility, Mental Illness | 5108 W Roscoe St, Chicago, IL 60641-4204 | 2018-06-20 |
| 1689124877 | Cornerstone Suppport Cila Home | Community Based Residential Treatment Facility, Mental Illness | 125 E 144th Ct, Harvey, IL 60426-1218 | 2016-10-11 |
| 1124575733 | Robert Young Center | Community Based Residential Treatment Facility, Mental Illness | 2701 - 17 Street, Rockisland, IL 61201 | 2016-09-01 |
| 1578910063 | Stepping Stones of Rockford, Inc | Community Based Residential Treatment Facility, Mental Illness | 3319 Darwood Dr, Rockford, IL 61101-2727 | 2016-05-16 |
| 1588018162 | Stepping Stones of Rockford, Inc | Community Based Residential Treatment Facility, Mental Illness | 3729 N Main St, Rockford, IL 61103-1611 | 2016-04-20 |
| 1194194175 | Compassion Cila Homes Inc | Community Based Residential Treatment Facility, Mental Illness | 304 Springfield St, Park Forest, IL 60466-1145 | 2015-09-18 |
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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.