INDIVIDUAL AND FAMILY CONNECTION, LLC (NPI# 1871857615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871857615 |
Entity Type | Organization |
Organization Name | INDIVIDUAL AND FAMILY CONNECTION, LLC |
Practice Address |
2865 N Clybourn Ave Chicago IL 60618-8269 |
Mailing Address |
2865 N. Clybourn Ave. Chicago IL 60618 |
Practice Telephone | (773) 270-0469 |
Mailing Telephone | 7732700469 |
Enumeration Date | 2012-06-26 |
Last Update Date | 2020-06-16 |
Authorized Official Name | MS. JULIANNE C NEELY (THERAPIST, OWNER) |
Authorized Official Telephone | 7732700469 |
Authorized Official Credential | MSW, LCSW |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 104100000X | Social Worker | IL | Behavioral Health & Social Service Providers | |
Y | 101Y00000X | Counselor | IL | Behavioral Health & Social Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
2000 N Racine Ave, Suite 2184, Chicago, IL 606144045 | 7732700469 | |
7357 North Ave, River Forest, IL 603051230 | 7732700469 |
Street Address |
2865 N CLYBOURN AVE |
City | CHICAGO |
State | IL |
Zip Code | 60618-8269 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801102322 | Karissa Marie Dunkleyshurts | Neurological Surgery | 2865 N Clybourn Ave, Number 3, Chicago, IL 60618-8269 | 2010-08-21 |
1457972812 | Natalia Desouza | Counselor | 2865 N Clybourn Ave, Chicago, IL 60618-8269 | 2020-04-27 |
1588226757 | Layton Kirk | Counselor | 2865 N Clybourn Ave, Chicago, IL 60618-8269 | 2019-07-08 |
1730643438 | Ashley Bennett | Social Worker | 2865 N Clybourn Ave, Chicago, IL 60618-8269 | 2019-01-27 |
1740710060 | Andrea Rae O'donnell | Nutritionist | 2865 N Clybourn Ave, Chicago, IL 60618-8269 | 2017-06-19 |
1871943415 | Erin Fisher | Social Worker | 2865 N Clybourn Ave, Chicago, IL 60618-8269 | 2016-06-14 |
1417341306 | Angela Alexander | Counselor | 2865 N Clybourn Ave, Ground Floor, Chicago, IL 60618-8269 | 2015-03-27 |
1003169830 | Andrea Nicole Good | Counselor | 2865 N Clybourn Ave, Chicago, IL 60618-8269 | 2012-10-17 |
1669736401 | Julianne C Neely | Social Worker | 2865 N Clybourn Ave, Ground Floor, Chicago, IL 60618-8269 | 2012-06-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134741622 | Cvs Aoc Services, L.L.C. | Optometrist | 4051 North Lincoln, Store 8751, Chicago, IL 60618 | 2020-05-07 |
1699317404 | Joseph Thank Harmon | Registered Nurse | 5645 W Addison, Chicago, IL 60618 | 2019-10-14 |
1760952626 | Prep Performance Center, LLC | Clinic/Center | 4022 N Rockwell Street, Chicago, IL 60618 | 2018-12-04 |
1528540986 | Ruby Erdmann | Dietitian, Registered | 3126 N Kimball Ave. #3w, Chicago, IL 60618 | 2018-09-02 |
1962997064 | Living Roots Psychotherapy, LLC | Clinic/Center | 4310 N Spaulding Ave, Chicago, IL 60618 | 2018-06-30 |
1962920116 | Alif Muhammad | Counselor | 3819 W Cornelia Ave #2, Chicago, IL 60618 | 2017-09-07 |
1417471178 | Daniel Lee Mcmillan | Counselor | 3433 N. Ridgeway Ave, Apt G, Chicago, IL 60618 | 2017-08-03 |
1508380486 | Callie Weinberg | Social Worker | 2945 N Damen Ave, 1s, Chicago, IL 60618 | 2017-08-01 |
1275062697 | Melissa Ann Prest | Dietitian, Registered | 3258 W Warner Ave, Apt 2, Chicago, IL 60618 | 2017-06-08 |
1871951038 | Bionic Prosthetics and Orthotics Group LLC | Prosthetic/Orthotic Supplier | 4315 N. Lincoln Avenue, Chicago, IL 60618 | 2016-02-03 |
Find all providers in zip 60618 |
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 |
---|---|---|---|---|
1366058075 | Allyssa Rose Bertram | Counselor | 4055 W Peterson Ave Ste 202, Chicago, IL 60646-6183 | 2020-09-17 |
1952914707 | Tara Ufer | Counselor | 400 W Deming Pl Apt 9g, Chicago, IL 60614-1702 | 2020-08-30 |
1104439694 | Alisa Williams | Counselor | 409 E 62nd St, Chicago, IL 60637-6097 | 2020-08-25 |
1730791492 | Forward Intentions Therapy LLC | Counselor | 1309 N Ashland Ave, Chicago, IL 60622-8744 | 2020-08-23 |
1184232183 | Isaac William Samuelson | Counselor | 3058 W Cortland St Apt 2, Chicago, IL 60647-5075 | 2020-07-16 |
1346861242 | Hannah Conner | Counselor | 2756 N Pine Grove Ave Apt 705, Chicago, IL 60614-6167 | 2020-05-01 |
1881215804 | Pamela Ann Brazelton-sykes | Counselor | Pioneer Gardens Supportive Living, 3800 S King Dr, Chicago, IL 60653 | 2020-04-30 |
1619597259 | Charles Chevell Hurt | Counselor | 1606 W Wallen Ave Apt 1, Chicago, IL 60626-6592 | 2020-04-23 |
1851911580 | Jessica C Baran | Counselor | 5200 S Blackstone Ave Apt 401, Chicago, IL 60615-6011 | 2020-04-22 |
1659907350 | Lauren Graner | Counselor | 2845 N Sheridan Rd # 708, Chicago, IL 60657-7227 | 2020-03-14 |
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.