MS. TRACEY JOHNSON (NPI# 1700246873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700246873 |
| Entity Type | Individual |
| Full Name | MS. TRACEY JOHNSON |
| Practice Address |
12410 S Aberdeen St Calumet Park IL 60827-5806 |
| Practice Telephone | 7738092245 |
| Mailing Telephone | 7738092245 |
| Enumeration Date | 2016-03-02 |
| Last Update Date | 2016-03-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 252Y00000X | Early Intervention Provider Agency | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689211088 | Tracey Johnson | Counselor | 14010 Monica St Apt 23, Detroit, MI 48238-2565 | 2019-12-04 |
| 1932752474 | Tracey Raeanne Vannette Johnson | Case Manager/Care Coordinator | 120 Meadowville Rd, Chester, VA 23836-2622 | 2019-07-23 |
| 1124528948 | Tracey Lynn Johnson | Social Worker | 284 Carlton Ave Apt 1, Brooklyn, NY 11205-4619 | 2018-02-19 |
| 1821245754 | Tracey Renae Johnson | Pharmacist | 108 W Hendry St, Hinesville, GA 31313-3232 | 2008-08-21 |
| 1063605749 | Tracey E. Johnson | Counselor | 2304 Rogate Cir, 303, Baltimore, MD 21244-5736 | 2007-08-25 |
| 1124168877 | Tracey L Johnson | Counselor | 6009 Squire Ct, #1, Memphis, TN 38115-3226 | 2007-02-08 |
| 1710024971 | Tracey L Johnson | Counselor | 1307 College St Se, Lacey, WA 98503-2332 | 2007-01-30 |
| 1659621423 | Tracey Johnson | Massage Therapist | 618 4th Ave, Suite 208, Bethlehem, PA 18018-5575 | 2012-09-19 |
| 1578828281 | Tracey Crew Johnson | Counselor | 51 Childrens Way, Enterprise, FL 32725-8135 | 2012-07-09 |
| 1487748471 | Tracey Perry Johnson | Dental Hygienist | 103 Superior Drive, Spring Lake, NC 28390 | 2006-10-03 |
| Street Address |
12410 S ABERDEEN ST |
| City | CALUMET PARK |
| State | IL |
| Zip Code | 60827-5806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942759758 | Lanette Newman | Driver | 14411 S Lasalle St, Riverdale, IL 60827 | 2016-09-22 |
| 1053771519 | Klr Transport LLC | Non-emergency Medical Transport (VAN) | 14241 Stewart Ave, Riverdale, IL 60827 | 2016-02-26 |
| 1487998316 | Sherry Coleman | Counselor | 1007 West 123rd Street, Calumet Park, IL 60827 | 2012-11-15 |
| 1275756850 | Bruce Michael Cable | Dentist | 100 W 144th St, Riverdale, IL 60827 | 2007-04-11 |
| 1548377716 | Lolita A Wilburn | Chiropractor | 12647 S Justine, Calumet Park, IL 60827 | 2006-08-24 |
| 1598720088 | Infinite Imaging Inc | Clinic/Center | 1029 E 30th St, Chicago, IL 60827 | 2006-04-19 |
| 1194000299 | Neal's Transportation | Non-emergency Medical Transport (VAN) | 13401 S Halsted St, Riverdale, IL 60827-1121 | 2011-10-20 |
| 1982048526 | Denise Simpson | Occupational Therapy Assistant | 13751 S Lowe Ave, Riverdale, IL 60827-1188 | 2013-04-25 |
| 1144883943 | Kenika Lionta Carter | Developmental Therapist | 13246 S Praire Av, Chicago, IL 60827-1246 | 2019-04-17 |
| 1164897302 | Helping Hands Enterprises LLC | Non-emergency Medical Transport (VAN) | 13246 S Langley Ave, Chicago, IL 60827-1336 | 2015-12-13 |
| Find all providers in zip 60827 | ||||
| Taxonomy Code | 252Y00000X |
| Grouping | Agencies |
| Classification | Early Intervention Provider Agency |
| Early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education Act (IDEA). IDEA provides states and territories with specific requirements for providing early intervention services to infants and toddlers with special needs. In turn, each state and territory develops its own policies for carrying out IDEA and its requirements. Broadly speaking, early intervention services are special services for eligible infants and toddlers and their families. These services are designed to identify and meet children’s needs in five developmental areas. These areas are: physical development, cognitive development, communication, social or emotional development, and adaptive development. |
| Notes: Source: National Dissemination Center for Children with Disabilities [7/1/2007: new] http://www.nichcy.org/pubs/parent/pa2txt.htm |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215480207 | Mgm Therapy & Behavioral Treatment Corporation | Early Intervention Provider Agency | 12856 S Paulina St, Calumet Park, IL 60827-5951 | 2016-07-26 |
| 1033445382 | Because Wee Care Inc | Early Intervention Provider Agency | 1135 W 127th St, Calumet Park, IL 60827-6537 | 2009-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679190763 | Suzanne Mraz | Early Intervention Provider Agency | 4007 Sterling Rd, Downers Grove, IL 60515-2220 | 2020-07-06 |
| 1023632338 | Lutz Therapy, LLC | Early Intervention Provider Agency | 10550 Braeburn Rd, Barrington, IL 60010-9674 | 2020-06-02 |
| 1235751991 | Cynthia Dressler | Early Intervention Provider Agency | 7794 Sherwood Cir S, Hanover Park, IL 60133-2561 | 2020-05-15 |
| 1619599446 | Kids Evolve Early Development LLC | Early Intervention Provider Agency | 6009 S Laflin St, Chicago, IL 60636-2309 | 2020-05-14 |
| 1609401298 | Pamela Taylor | Early Intervention Provider Agency | 7611 S Crandon Ave, Chicago, IL 60649-4116 | 2020-03-04 |
| 1114550720 | Naima Johnson | Early Intervention Provider Agency | 233 W Country Ct, Bourbonnais, IL 60914-2119 | 2020-02-21 |
| 1407489578 | Elizabeth Piotrowski | Early Intervention Provider Agency | 729 Old Westbury Rd, Crystal Lake, IL 60012-3770 | 2020-02-18 |
| 1144850827 | Hyrin Owens | Early Intervention Provider Agency | 16014 Sawyer Ave, Markham, IL 60428-4528 | 2020-01-22 |
| 1417587569 | Heartland Medical Care | Early Intervention Provider Agency | 30 S Wacker Dr Fl 22, Chicago, IL 60606-7452 | 2020-01-16 |
| 1083254874 | Play & Learn Developmental Company | Early Intervention Provider Agency | 4518 W Van Buren St, Chicago, IL 60624-3050 | 2020-01-09 |
| Find all providers with the same taxonomy | ||||
| City | CALUMET PARK |
| Zip Code | 60827 |
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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.