JOHN GOLL (NPI# 1861516619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861516619 |
| Entity Type | Individual |
| Full Name | JOHN GOLL |
| Credential | L.M.F.T. |
| Practice Address |
2100 Manchester Rd Ste 400-a Wheaton IL 60187-4579 |
| Mailing Address |
530 Wing Ln St Charles IL 60174-2340 |
| Practice Telephone | 7033482773 |
| Mailing Telephone | 3172890982 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2016-12-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 166.001069 | IL | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | 0717001255 | VA | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | 35001611A | IN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730524521 | John Goll | Pharmacist | 204 Warren Ave, Ho Ho Kus, NJ 07423-1545 | 2013-05-07 |
| Street Address |
2100 MANCHESTER RD STE 400-A |
| City | WHEATON |
| State | IL |
| Zip Code | 60187-4579 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285844910 | John Goll Counseling, Ltd | Marriage & Family Therapist | 2100 Manchester Rd Ste 400-a, Wheaton, IL 60187-4579 | 2007-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811510738 | Arielle Susan Kalvelage | Counselor | Central Public Health Center (cphc), 111 N. County Farm Road, Wheaton, IL 60187 | 2020-05-27 |
| 1801418363 | Peter Gerard Harvey | Acupuncturist | 200 East Willow Avenue, Suite 202, Wheaton, IL 60187 | 2020-05-07 |
| 1760028823 | Teresa Clasen | Counselor | 222 Willow Ave, Wheaton, IL 60187 | 2019-11-25 |
| 1821630757 | Eastern Healing Inc. | Acupuncturist | 200 E. Willow Ave., Suite 202, Wheaton, IL 60187 | 2019-10-11 |
| 1952816282 | Caprishea Jones | Counselor | 111 N County Farm Road, Wheaton, IL 60187 | 2017-12-08 |
| 1265880330 | Bryan Cairncross | Specialist/Technologist | 1503 Beecher Ave., Wheaton, IL 60187 | 2016-05-31 |
| 1811357544 | Patricia Diaz | Nurse Practitioner | 0n620 West Street, Wheaton, IL 60187 | 2016-02-23 |
| 1962819227 | Breakthrough Care Center | Clinic/Center | 150 E. Willow Ave, Ste 100, Wheaton, IL 60187 | 2014-07-18 |
| 1780005587 | Kyler Mulhauser | Counselor | 600 W. Roosevelt Rd, Suite A2, Wheaton, IL 60187 | 2013-12-20 |
| 1538593074 | Deborah Bates | Psychologist | 300 E Roosevelt Rd Ste 105, Wheaton, IL 60187 | 2013-08-31 |
| Find all providers in zip 60187 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831681600 | Evergreen Counseling LLC | Marriage & Family Therapist | 2100 Manchester Rd Ste 602, Wheaton, IL 60187-4587 | 2018-06-06 |
| 1508395336 | Stefana-ioana Racorean | Marriage & Family Therapist | 1737 S Naperville Rd Ste 200, Wheaton, IL 60189-5894 | 2017-06-06 |
| 1851709257 | Emily Jean Zeller | Marriage & Family Therapist | 1105 Casa Solana Dr, Wheaton, IL 60189-8213 | 2014-07-29 |
| 1669731006 | Kathryn Asha Thumme & Associates LLC | Marriage & Family Therapist | 1312 Colonial Sq, Wheaton, IL 60189-8116 | 2012-05-04 |
| 1346523891 | Frances Jayne White | Marriage & Family Therapist | 140 Windsor Park Dr., E320, Wheaton, IL 60188-4107 | 2011-09-21 |
| 1972659944 | Raymond J Redelman | Marriage & Family Therapist | 200 E Willow, Suite 101, Wheaton, IL 60187-9998 | 2007-01-25 |
| 1346857638 | Jeremy Barkev Tovmassian | Marriage & Family Therapist | 2100 Manchester Rd Ste 602, Wheaton, IL 60187-4587 | 2020-09-30 |
| 1225686660 | Brigette Maria Joch | Marriage & Family Therapist | 600 W Roosevelt Rd Ste A2, Wheaton, IL 60187-2301 | 2019-08-28 |
| 1881248011 | Erin Gayton | Marriage & Family Therapist | 1737 S Naperville Rd Ste 206, Wheaton, IL 60189-5894 | 2019-07-25 |
| 1831742527 | Lucas Jonathan Fultz | Marriage & Family Therapist | 1737 S Naperville Rd Ste 200, Wheaton, IL 60189-5894 | 2019-07-22 |
| Find all providers in WHEATON | ||||
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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.