THOMAS F. WRIGHT (NPI# 1790765279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790765279 |
Entity Type | Individual |
Full Name | THOMAS F. WRIGHT |
Credential | LCPC |
Practice Address |
4343 Old Grand Ave Suite 107 C Gurnee IL 60031-2767 |
Mailing Address |
300 Valhalla Cir Crystal Lake IL 60014-8238 |
Practice Telephone | 8476622174 |
Practice Fax Number | 8476622159 |
Mailing Telephone | 8154554217 |
Mailing Fax Number | 8476622159 |
Enumeration Date | 2006-01-19 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
IL | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | BC/BS EIN NUMBER | 49-22596 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154704377 | Thomas Wright | Podiatrist | 1125 W Kagy Blvd Ste 101, Bozeman, MT 59715-5879 | 2015-07-07 |
1245579721 | Thomas Lynn Wright | Specialist | 5556 Bent Grass Way, Douglasville, GA 30135-5856 | 2013-02-04 |
1043458235 | Thomas R. Wright | Marriage & Family Therapist | 8501 Golden Valley Rd, #150, Minneapolis, MN 55427-4461 | 2009-01-27 |
1083873269 | Thomas D Wright | Occupational Therapist | 10549 Music Ave, Las Vegas, NV 89144-1369 | 2008-06-03 |
1184825051 | Thomas Robert Wright | Counselor | 2230 Professional Dr, Santa Rosa, CA 95403-3015 | 2007-05-30 |
1417084575 | Thomas Carr Wright Jr. | Pathology | 84 Station Rd, Irvington, NY 10533-2134 | 2007-02-27 |
1417013046 | Thomas Junior Wright | Counselor | 7218 Ne Sandy Blvd Ste 3, Portland, OR 97213-5700 | 2006-12-28 |
1942311220 | Thomas Sheridan Wright | Marriage & Family Therapist | 333 N Lantana St Ste 273, Camarillo, CA 93010-9033 | 2006-08-31 |
1639182868 | Thomas E. Wright | Psychiatry & Neurology | 120 East Main Street, Cambridge, WI 53523-0548 | 2006-08-15 |
1417935974 | Thomas F Wright | Family Medicine | 830 Waterbury Falls Dr, Ste 202, O Fallon, MO 63368-2215 | 2006-01-05 |
Street Address |
4343 OLD GRAND AVE SUITE 107 C |
City | GURNEE |
State | IL |
Zip Code | 60031-2767 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841735966 | The Thresholds | Community/Behavioral Health | 4343 Old Grand Ave, Suites 200 & 202, Gurnee, IL 60031-2767 | 2016-12-28 |
1306292248 | The Thresholds | Community/Behavioral Health | 4343 Old Grand Ave, Gurnee, IL 60031-2767 | 2016-05-10 |
1104229988 | New Foundation Center Inc | Counselor | 4343 Old Grand Ave, Gurnee, IL 60031-2767 | 2014-10-07 |
1396146775 | Emilio Carrillo | Dentist | 4343 Old Grand Ave, Ste-112, Gurnee, IL 60031 | 2014-09-04 |
1952725038 | 1st Assure Home Health, LLC | Home Health | 4343 Old Grand Ave, Suite 106, Gurnee, IL 60031-2767 | 2014-02-11 |
1316377682 | Spring View Imaging Center | Clinic/Center | 4343 Old Grand Ave, Suite 205, Gurnee, IL 60031-2767 | 2013-11-22 |
1326189309 | Tim M. Jackimek | Dentist | 4343 Old Grand Ave, Ste # 105, Gurnee, IL 60031-2767 | 2007-02-10 |
1700935418 | Alison B Koehler | Counselor | 4343 Old Grand Ave, Suite 107 C, Gurnee, IL 60031-2767 | 2007-01-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881174720 | Rockelle Waggoner | Behavioral Analyst | 489 Tanglewood Dr, Gurnee, IL 60031 | 2018-08-20 |
1316434376 | Lake County Internal Medicine Assoc LLC | Non-Pharmacy Dispensing Site | 15 Tower Ct., Ste 190, Gurnee, IL 60031 | 2018-04-16 |
1588163364 | Advanced Endodontics, PC | Dentist | 103 S. Greenleaf Street, Suite K, Gurnee, IL 60031 | 2018-02-07 |
1578081550 | Northshore Medical Consultants, Ltd | Family Medicine | 1425 Hunt Club Rd. #302, Gurnee, IL 60031 | 2017-08-30 |
1336678739 | Sarah Beth Fugelseth | Nurse Practitioner | 1445 N Hunt Club Rd Ste 304, Gurnee, IL 60031 | 2017-06-08 |
1174079867 | Lifecarepros, LLC | In Home Supportive Care | 223 North Route 21, Gurnee, IL 60031 | 2016-09-01 |
1740733195 | Ryan Lee Winslow | Chiropractor | 6021 Washington St, Unit B, Gurnee, IL 60031 | 2016-08-02 |
1891129599 | Smart Scan Mri, LLC | Clinic/Center | 350 S. Greenleaf, Suite 401, Gurnee, IL 60031 | 2013-08-29 |
1568720076 | Yudelca Romano | Genetic Counselor, MS | 1125 Tri State Parkway, Gurnee, IL 60031 | 2012-05-03 |
1558637348 | Laura E Novak | Social Worker | 4212 Old Grand Avenue, Gurnne, IL 60031 | 2012-03-27 |
Find all providers in zip 60031 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649894353 | The Wright Advocate LLC | Counselor | 1800 Nations Dr Ste 117, Gurnee, IL 60031-9171 | 2020-05-29 |
1164044798 | Pamela Vernon Stewart | Counselor | 6791 E Mount Vernon Ct, Gurnee, IL 60031-4034 | 2020-05-18 |
1699330084 | Mercedes Compton | Counselor | 1790 Nations Dr Ste 214, Gurnee, IL 60031-9176 | 2019-05-01 |
1023516010 | Harry Lee Speer | Counselor | 2079 Madison Ave, Gurnee, IL 60031-6300 | 2018-01-25 |
1952707051 | Lisa Alexoff | Counselor | 501 N Riverside Dr Ste 111, Gurnee, IL 60031-5918 | 2014-11-17 |
1457691651 | Erica Mcilveen | Counselor | 1125 Tri State Pkwy Ste 720, Gurnee, IL 60031-9177 | 2013-02-25 |
1548552078 | Lisa Nicklas | Counselor | 1790 Nations Dr Ste 116, Gurnee, IL 60031-9175 | 2011-05-02 |
1972837714 | Willie B Morhead | Counselor | 4220 Tiger Lily Ln, Unit 402, Gurnee, IL 60031-9630 | 2009-09-27 |
1811184955 | Ryan Troy Porter | Counselor | 5221 Fredrick Ct, A, Gurnee, IL 60031-6064 | 2007-10-03 |
1356562995 | Elizabeth Mika | Counselor | 1662 Vineyard Dr., Gurnee, IL 60031 | 2007-05-01 |
Find all providers in GURNEE |
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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.