GUADALUPE CARDOSO (NPI# 1922527290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922527290 |
Entity Type | Individual |
Full Name | GUADALUPE CARDOSO |
Practice Address |
4001 W Dayton St Mchenry IL 60050-8377 |
Practice Telephone | 8157597108 |
Enumeration Date | 2017-09-18 |
Last Update Date | 2017-09-18 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | Agencies |
Street Address |
4001 W DAYTON ST |
City | MCHENRY |
State | IL |
Zip Code | 60050-8377 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891828976 | Pioneer Center for Human Services | Case Management | 4001 W Dayton St, Mchenry, IL 60050-8377 | 2007-03-14 |
1205348448 | Kevin Canto | Day Training/Habilitation Specialist | 4001 W Dayton St, Mchenry, IL 60050-8377 | 2017-10-27 |
1316458961 | Genevieve Joan Keefe | Social Worker | 4001 W Dayton St, Mchenry, IL 60050-8377 | 2017-10-22 |
1952811887 | Lisa Neuhaus | Social Worker | 4001 W Dayton St, Mchenry, IL 60050-8377 | 2017-10-05 |
1386169753 | Cynthia Ann Towalski | Behavior Technician | 4001 W Dayton St, Mchenry, IL 60050-8377 | 2017-08-07 |
1598292542 | Kathryn Germain | Social Worker | 4001 W Dayton St, Mchenry, IL 60050-8377 | 2017-05-20 |
1770019093 | Leo Thull | Social Worker | 4001 W Dayton St, Mchenry, IL 60050-8377 | 2017-05-05 |
1114452364 | Hannah Jackson | Social Worker | 4001 W Dayton St, Mchenry, IL 60050-8377 | 2017-04-25 |
1407389919 | Joel Thomas | Social Worker | 4001 W Dayton St, Mchenry, IL 60050-8377 | 2017-04-11 |
1427589597 | Kristie Sutherland | Social Worker | 4001 W Dayton St, Mchenry, IL 60050-8377 | 2017-03-21 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932728003 | Tco Jv, LLC | Skilled Nursing Facility | 550 Ridgeview Drive, Mchenry, IL 60050 | 2020-04-09 |
1992274971 | Lisa Luedtke | Counselor | 5342 West Elm Street, Mchenry, IL 60050 | 2018-11-19 |
1013402825 | Fox Ridge Medical Associates, LLC | Internal Medicine | 3633 Municipal Dr, Mchenry, IL 60050 | 2018-06-25 |
1700387065 | Richard Stacy Birmantas | Speech-Language Pathologist | 6515 West Route 120, Mchenry, IL 60050 | 2018-02-22 |
1659888774 | Kathleen Mather | Speech-Language Pathologist | 3502 Washington St, Mchenry, IL 60050 | 2018-01-10 |
1891205605 | Delorean Mckinney | Psychologist | 4031 Dayton Ave, Mchenry, IL 60050 | 2017-10-06 |
1851810741 | Diana Park | Pharmacist | 2253 N. Richmond Rd., Mchenry, IL 60050 | 2017-09-12 |
1063931921 | Lauren M Young | Counselor | 4031 W. Dayton Street, Mchenery, IL 60050 | 2017-09-12 |
1376086264 | Elizabeth Kathleen Zacher | Social Worker | 4100 W Dayton Street, Mchenry, IL 60050 | 2016-11-23 |
1700332491 | Jasmine Elias | Social Worker | 4031 Dayton St, Mchenry, IL 60050 | 2016-09-01 |
Find all providers in zip 60050 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346749389 | Jessica Ann Earhart | Community/Behavioral Health | 4031 W Dayton St, Mchenry, IL 60050-8377 | 2018-02-05 |
1720591274 | Amanda Joann Patton | Community/Behavioral Health | 4031 W Dayton St, Mchenry, IL 60050-8377 | 2017-11-07 |
1427568153 | Cynthia Ann Jimenez | Community/Behavioral Health | 4031 W Dayton St, Mchenry, IL 60050-8377 | 2017-10-09 |
1801248414 | Association for Individual Development | Community/Behavioral Health | 5342 W Elm St, Mchenry, IL 60050-4029 | 2016-07-07 |
1750736773 | Association for Individual Development | Community/Behavioral Health | 4100 Veterans Pkwy, Mchenry, IL 60050-8350 | 2016-04-27 |
1124482138 | Aid | Community/Behavioral Health | 4001 W Dayton St, Mchenry, IL 60050-8377 | 2016-04-06 |
1104242551 | Megan Burgess-garica | Community/Behavioral Health | 4001 W Dayton St, Mchenry, IL 60050-8377 | 2014-03-10 |
1023434495 | Pioneer Center for Human Services | Community/Behavioral Health | 4100 Veterans Pkwy, Mchenry, IL 60050-8350 | 2014-03-10 |
1376988451 | Abby Kwayzer | Community/Behavioral Health | 4001 W Dayton St, Mchenry, IL 60050-8377 | 2013-05-02 |
1770927170 | Kathryn Elizabeth Steger | Community/Behavioral Health | 4001 W Dayton St, Mchenry, IL 60050-8377 | 2013-04-29 |
Find all providers in MCHENRY |
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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.