YANITZA CASSANDRA CARMONA Y CORREA (NPI# 1790325157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790325157 |
| Entity Type | Individual |
| Full Name | YANITZA CASSANDRA CARMONA Y CORREA |
| Credential | MSW |
| Practice Address |
6918 W Windsor Ave Berwyn IL 60402-3334 |
| Practice Telephone | 7087455277 |
| Mailing Telephone | 7087455277 |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2020-01-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
6918 W WINDSOR AVE |
| City | BERWYN |
| State | IL |
| Zip Code | 60402-3334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184799769 | Kerry J Lusignan | Social Worker | 6918 W Windsor Ave, Berwyn, IL 60402-3334 | 2006-11-21 |
| 1568060895 | Sylvia Garza | Counselor | 6918 W Windsor Ave, Berwyn, IL 60402-3334 | 2020-10-09 |
| 1184233223 | Pillars Community Health | Clinic/Center | 6918 W Windsor Ave, Berwyn, IL 60402-3334 | 2020-07-24 |
| 1184232423 | Sydnedion Madora Lampkin | Counselor | 6918 W Windsor Ave, Berwyn, IL 60402-3334 | 2020-07-22 |
| 1033732052 | Alma Leticia Jimenez | Counselor | 6918 W Windsor Ave, Berwyn, IL 60402-3334 | 2020-05-26 |
| 1588283329 | Joanna Pelayo | Counselor | 6918 W Windsor Ave, Berwyn, IL 60402-3334 | 2020-04-12 |
| 1255966198 | Haidee Guadalupe Aguilar | Counselor | 6918 W Windsor Ave, Berwyn, IL 60402-3334 | 2020-03-11 |
| 1477183044 | Bianca Rodriguez | Counselor | 6918 W Windsor Ave, Berwyn, IL 60402-3334 | 2020-01-22 |
| 1508402314 | Stephanie Molina | Counselor | 6918 W Windsor Ave, Berwyn, IL 60402-3334 | 2019-11-27 |
| 1225689326 | Kaitlyn Myers | Counselor | 6918 W Windsor Ave, Berwyn, IL 60402-3334 | 2019-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619586518 | Lisa K Anderson-shaw | Clinical Ethicist | Macneal Trinity Medical Cetner, 3249 Oak Park Avenue, Berwyn, IL 60402 | 2020-07-27 |
| 1922622380 | Ayesha Ikram | Internal Medicine | Macneal Hospital 3249 S. Oak Park Ave, Brewyn, IL 60402 | 2020-06-02 |
| 1598329146 | Eleanor Teoh | Student in an Organized Health Care Education/Training Program | Family Medicine, Macneal Family Medicine Center, 3231 Eucild Ave, 5th Floor, Berwyn, IL 60402 | 2019-04-30 |
| 1376013920 | Virginia Mireles | Behavior Technician | 2317 S. Home, Berwyn, IL 60402 | 2018-11-27 |
| 1245709047 | Saraswati Koirala | Dentist | 1227 S Harlem Ave Apt414, Berwyn, IL 60402 | 2018-11-21 |
| 1295204220 | Dental Town Ltd | Dentist | 7106 W Cermak Rd, Berwyn, IL 60402 | 2018-11-20 |
| 1396231684 | Toya M Gildart | Counselor | Pillars, 6415 Stanley Avenue, Berwyn, IL 60402 | 2018-07-10 |
| 1437655685 | Ana Luisa Desantiago | Social Worker | 3245 Grove Ave Ste 201, Berwyn, IL 60402 | 2018-04-04 |
| 1821520198 | Chetan Velagapudi | Student in an Organized Health Care Education/Training Program | 3231 S Euclid Avenue, Suite 203, Berwyn, IL 60402 | 2017-03-28 |
| 1174976567 | Sydney Talavera | Counselor | 6415 Stanley Ave., Berwyn, IL 60402 | 2016-07-20 |
| Find all providers in zip 60402 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598218166 | Daisy Rios | Counselor | 3635 Grove Ave, Berwyn, IL 60402-3868 | 2016-07-29 |
| 1861885907 | Charles Sanders | Counselor | 3424 Grove Ave, Berwyn, IL 60402-3636 | 2015-03-13 |
| 1326364886 | Anne E Leto | Counselor | 1412 Highland Ave, Berwyn, IL 60402-1129 | 2010-04-08 |
| 1588283329 | Joanna Pelayo | Counselor | 6918 W Windsor Ave, Berwyn, IL 60402-3334 | 2020-04-12 |
| 1508402314 | Stephanie Molina | Counselor | 6918 W Windsor Ave, Berwyn, IL 60402-3334 | 2019-11-27 |
| 1760030613 | Breanna Lynn Baker | Counselor | 6918 W Windsor Ave, Berwyn, IL 60402-3334 | 2019-09-03 |
| 1366090201 | Amanda Jean Slater | Counselor | 6918 W Windsor Ave, Berwyn, IL 60402-3334 | 2019-09-03 |
| 1770130478 | Benjamin David Cowell | Counselor | 6918 W Windsor Ave, Berwyn, IL 60402-3334 | 2019-08-19 |
| 1427616341 | Going Beyond Counseling Services | Counselor | 3339 Highland Ave, Berwyn, IL 60402-3817 | 2019-06-05 |
| 1720645559 | Belen Servin-johnson | Counselor | 6415 Stanley Ave, Berwyn, IL 60402-3130 | 2019-05-28 |
| Find all providers in BERWYN | ||||
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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.