MS. ERYN SMITH-MOELLER (NPI# 1700203254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700203254 |
| Entity Type | Individual |
| Full Name | MS. ERYN SMITH-MOELLER |
| Credential | LCPC |
| Practice Address |
3139 N Lincoln Ave Suite 202 Chicago IL 60657-3114 |
| Mailing Address |
8420 Lehigh Ave Apt Upper 1 Morton Grove IL 60053-2658 |
| Practice Telephone | 7085710082 |
| Mailing Telephone | 7085710082 |
| Enumeration Date | 2014-03-22 |
| Last Update Date | 2014-03-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
180.008898 | IL | Behavioral Health & Social Service Providers |
| Street Address |
3139 N LINCOLN AVE SUITE 202 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60657-3114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942289533 | Total Balance Chiropractic, P.C. | Chiropractor | 3139 N Lincoln Ave, Suite 209, Chicago, IL 60657-3114 | 2006-01-11 |
| 1982122412 | Rebecca Dauber | Social Worker | 3139 N Lincoln Ave, Chicago, IL 60657-3114 | 2017-09-05 |
| 1285182121 | Diane M Herbstman Welbel Psyd LLC | Psychologist | 3139 N Lincoln Ave, Suite 203, Chicago, IL 60657-3114 | 2016-09-20 |
| 1417310806 | Tara Parker | Counselor | 3139 N Lincoln Ave, Chicago, IL 60657-3114 | 2016-04-01 |
| 1689030603 | Kathleen R. Brennan, Inc. | Counselor | 3139 N Lincoln Ave, Chicago, IL 60657-3114 | 2016-01-06 |
| 1750753158 | Annie Felice, Lcpc, PC | Clinic/Center | 3139 N Lincoln Ave, Suite 210, Chicago, IL 60657-3114 | 2015-10-24 |
| 1598133753 | Whitney Logan | Counselor | 3139 N Lincoln Ave, Suite 207, Chicago, IL 60657-3114 | 2015-09-04 |
| 1215317508 | Dr. David Rakofsky PC | Social Worker | 3139 N Lincoln Ave, Suite 211, Chicago, IL 60657-3114 | 2015-06-02 |
| 1225415623 | Jacqueline Taub | Counselor | 3139 N Lincoln Ave, #209, Chicago, IL 60657-3114 | 2015-05-05 |
| 1487047106 | Nicole Elman | Social Worker | 3139 N Lincoln Ave, Chicago, IL 60657-3114 | 2015-03-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303887 | Simone Paes | Behavior Technician | 3141 N Sheffield Ave, Chicago, IL 60657 | 2020-10-13 |
| 1821613175 | Samridhi Khatri | Internal Medicine | 836 W. Wellington Ave, Advocate Illinois Masonic Medica, Suite 1312, Chigaco, IL 60657 | 2020-06-12 |
| 1467074617 | Dewolfe Aesthetic Services Sc | Surgery | 3357 N. Southport Aveune, Chicago, IL 60657 | 2020-05-11 |
| 1790304657 | Mehr Amer Mjeed | Student in an Organized Health Care Education/Training Program | Advocate Internal Medicine Clinic, Advocate Illinois Ma, 836 West Wellington Avenue, Chicago, IL 60657 | 2020-04-10 |
| 1457997561 | Jasleen Mohini Singh | Physician Assistant | 1645a W School Street, Suite A, Clinic Entrance, Chicago, IL 60657 | 2019-11-24 |
| 1306493408 | Art of Sight Eyecare, LLC | Optometrist | 2915 N. Broadway, Chicago, IL 60657 | 2019-08-22 |
| 1992359277 | Joseph Michael Rochford IIi | Counselor | 1358 W Belmont Ave, Unit # 202, Chicago, IL 60657 | 2019-07-25 |
| 1487116240 | Conrad Petersen Dermatology Sc | Dermatology | 2845 N Sheridan, Chicago, IL 60657 | 2019-04-02 |
| 1003388810 | Evolve Wellness S.c. | Counselor | 2845 North Sheridan Road, Suite 708, Chicago, IL 60657 | 2018-12-19 |
| 1639657414 | Advocate North Side Health Network | Psychiatric Unit | 836 W Wellington Ave., Chicago, IL 60657 | 2018-08-02 |
| Find all providers in zip 60657 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477579 | Shantrell Patrice Sutton | Counselor | 5042 W Erie St, Chicago, IL 60644-1604 | 2020-11-05 |
| 1073114591 | Alternative Schools Network | Counselor | 1807 W Sunnyside Ave, Chicago, IL 60640-5898 | 2020-11-02 |
| 1992306518 | Gravity and Grace Psychotherapy, Pllc | Counselor | 1305 S Michigan Ave Apt 602, Chicago, IL 60605-3398 | 2020-11-02 |
| 1811597263 | April Wilburne | Counselor | 804 E 54th St Apt 3, Chicago, IL 60615-4972 | 2020-10-27 |
| 1043810393 | Pamela Kranyak | Counselor | 30 N Michigan Ave Ste 925, Chicago, IL 60602-3463 | 2020-10-27 |
| 1003413378 | Erika Aguirre | Counselor | 5040 S Keating Ave., Chicago, IL 60632-4919 | 2020-10-08 |
| 1497361661 | Michael V Biederman | Counselor | 4254 N Mozart St Apt 2s, Chicago, IL 60618-1784 | 2020-09-22 |
| 1013523984 | Antionette Fisher | Counselor | 5703 S Peoria St, Chicago, IL 60621-2262 | 2020-09-16 |
| 1114532561 | Nefesh Counseling, LLC | Counselor | 3320 W Foster Ave # 124, Chicago, IL 60625-4813 | 2020-09-12 |
| 1114531043 | Katherine E Evans | Counselor | 1528 W Jonquil Ter Unit 2c, Chicago, IL 60626-5932 | 2020-09-08 |
| 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.