MINDSET TRANSFORMATIONS, LLC (NPI# 1689299497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689299497 |
Entity Type | Organization |
Organization Name | MINDSET TRANSFORMATIONS, LLC |
Practice Address |
11225 Front St Ste 16 Mokena IL 60448-1303 |
Mailing Address |
3506 Ithaca Rd Olympia Fields IL 60461-1339 |
Practice Telephone | 7085377332 |
Mailing Telephone | 7085958336 |
Enumeration Date | 2020-06-08 |
Last Update Date | 2020-06-08 |
Authorized Official Name | VALERIE HAMMOND (CEO) |
Authorized Official Telephone | 7085377332 |
Authorized Official Credential | MACP, CRADC, SAP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
N | 251B00000X | Case Management | Agencies | ||
N | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
Residential Treatment Facilities | ||
Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
Street Address |
11225 FRONT ST STE 16 |
City | MOKENA |
State | IL |
Zip Code | 60448-1303 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093372187 | Vital Ambulance Services LLC | Ambulance | 18781 90th Ave., Suite A, Mokena, IL 60448 | 2019-05-23 |
1881173656 | Instarx Pharmacy LLC | Pharmacy | 18927 Hickory Creek Dr Ste 135, Mokena, IL 60448 | 2018-08-12 |
1124535240 | Three Point Healthcare LLC | Physical Therapist | 19807 S La Grange Rd, Mokena, IL 60448 | 2018-01-10 |
1831618545 | Erica Cundiff | Developmental Therapist | 10352 Aileen Ave., Mokena, ID 60448 | 2017-09-13 |
1346769122 | Haley Mccabe | Specialist/Technologist | 11520 Plattner Dr, Mokena, IL 60448 | 2017-09-13 |
1215450408 | Valley Creek Family Dental Ltd | Clinic/Center | 11244 W Laporte Rd, Mokena, IL 60448 | 2017-07-20 |
1477084861 | Ellen Marie Spiese | Marriage & Family Therapist | 19518 116th Ave Unit D, Mokena, IL 60448 | 2017-03-27 |
1851714190 | Oasis Hospice & Palliative Care, Inc. | Hospice Care, Community Based | 10010 W 190th Pl, Mokena, IL 60448 | 2014-01-22 |
1396167201 | Tammy S Grode | Counselor | 9200 W 191st St Ste 6, Mokena, IL 60448 | 2014-01-11 |
1467725119 | Easter Seals | Specialist | 10039 Cambridge Ct, Mokena, IL 60448 | 2012-02-10 |
Find all providers in zip 60448 |
Taxonomy Code | 324500000X |
Grouping | Residential Treatment Facilities |
Classification | Substance Abuse Rehabilitation Facility |
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
Notes: [7/1/2003: modified title, modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548860729 | New Gen Ed Inc. | Substance Abuse Rehabilitation Facility | 1219 N Gary Ave, Carol Stream, IL 60188-9028 | 2020-10-28 |
1578187886 | Silver Glen Road Opco LLC | Substance Abuse Rehabilitation Facility | 41w400 Silver Glen Rd, St Charles, IL 60175-8453 | 2020-06-02 |
1669025672 | Gateway Foundation, Inc. | Substance Abuse Rehabilitation Facility | 25480 W Cedar Crest Ln Bldg A, Lake Villa, IL 60046-9744 | 2019-07-18 |
1295390490 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | Crossing Recovery Center, 495 East Central Ave, Decatur, IL 62521 | 2019-05-03 |
1396300638 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | 495 E Central Ave, Decatur, IL 62521 | 2019-05-02 |
1679138911 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | 495 East Central Ave, Decatur, IL 62521 | 2019-05-02 |
1033673165 | Michael David Lauts | Substance Abuse Rehabilitation Facility | 215 E 25th St Apt 228, Sterling, IL 61081-1092 | 2019-01-23 |
1457829632 | Hope Behavioral Services At The Jeannine Brent Center Incorporated | Substance Abuse Rehabilitation Facility | 2319 Plainfield Rd, Crest Hill, IL 60403-1875 | 2018-11-06 |
1063989143 | Northwest Recovery Center LLC | Substance Abuse Rehabilitation Facility | 5352 N Lincoln Ave Ste 250, Chicago, IL 60625-2316 | 2018-10-26 |
1982182671 | Rosecrance, Inc. | Substance Abuse Rehabilitation Facility | 2835 N Sheffield Ave Ste 209, Chicago, IL 60657-5083 | 2018-08-03 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on MINDSET TRANSFORMATIONS, LLC.
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.