PALMER JONES MCCLUSKEY (NPI# 1942763354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942763354 |
| Entity Type | Individual |
| Full Name | PALMER JONES MCCLUSKEY |
| Practice Address |
671 S Lewis Ave Waukegan IL 60085-6101 |
| Mailing Address |
1910 Hilton Ave Columbus GA 31906-1543 |
| Practice Telephone | 8477824000 |
| Mailing Telephone | 7065805623 |
| Enumeration Date | 2019-04-11 |
| Last Update Date | 2019-04-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
671 S LEWIS AVE |
| City | WAUKEGAN |
| State | IL |
| Zip Code | 60085-6101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295154813 | Catholic Charities of The Archdiocese of Chicago | Counselor | 671 S Lewis Ave, Waukegan, IL 60085-6101 | 2014-04-10 |
| 1669071833 | Erica Slattery | Counselor | 671 S Lewis Ave, Waukegan, IL 60085-6101 | 2020-10-20 |
| 1073124269 | Erika Denny | Social Worker | 671 S Lewis Ave, Waukegan, IL 60085-6101 | 2020-08-12 |
| 1457962615 | Samantha Tomasello | Counselor | 671 S Lewis Ave, Waukegan, IL 60085-6101 | 2020-08-12 |
| 1558972836 | Dawid Tryba | Social Worker | 671 S Lewis Ave, Waukegan, IL 60085-6101 | 2020-08-11 |
| 1962026971 | Jennifer Rae Flanagan | Counselor | 671 S Lewis Ave, Waukegan, IL 60085-6101 | 2020-06-04 |
| 1417587544 | Kaitlynn Elizabeth Martin | Counselor | 671 S Lewis Ave, Waukegan, IL 60085-6101 | 2020-01-16 |
| 1336798636 | Marilyn Hernandez | Counselor | 671 S Lewis Ave, Waukegan, IL 60085-6101 | 2019-09-09 |
| 1528615366 | Jackie Machamer | Student in an Organized Health Care Education/Training Program | 671 S Lewis Ave, Waukegan, IL 60085-6101 | 2019-08-26 |
| 1245883727 | Janeth Brindis | Social Worker | 671 S Lewis Ave, Waukegan, IL 60085-6101 | 2019-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285285189 | Allison Rose Matuszewski | Speech-Language Pathologist | Robbie M. Lightfoot, 1721 N Mcaree Rd, Waukegan, IL 60085 | 2019-09-23 |
| 1164985602 | Kristin Kaprak | Speech-Language Pathologist | Thomas Jefferson Middle School, 600 S. Lewis, Waukegan, IL 60085 | 2019-04-11 |
| 1861972317 | Mitchum Smith | Student in an Organized Health Care Education/Training Program | 2025 Washington Street, Waukegan, IL 60085 | 2018-08-15 |
| 1447702998 | Rachel Martinez | Registered Nurse | 3002 Grand Ave., Waukegan, IL 60085 | 2016-11-01 |
| 1831649250 | Kenneth Caples | Specialist/Technologist | 211 S County St, Waukegan, IL 60085 | 2016-10-10 |
| 1033666490 | Catholic Charities of The Archdiocese of Chicago | Community/Behavioral Health | 671 S. Lewis Ave., Waukegan, IL 60085 | 2016-09-02 |
| 1285007757 | Michael Moore | Counselor | 1113 Greenwood Ave, Waukegan, IL 60085 | 2015-11-05 |
| 1740656503 | Emperatriz Guerra | Counselor | 329 N. Genesee Street, Waukegan, IL 60085 | 2015-08-17 |
| 1992189880 | County of Lake | Clinic/Center | 540 S. Mcalister Ave., Waukegan, IL 60085 | 2015-07-10 |
| 1922406354 | Ebele Okonkwor | Nurse Anesthetist, Certified Registered | 1324 N. Sheridan, Waukegan, IL 60085 | 2014-12-17 |
| Find all providers in zip 60085 | ||||
| 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 |
|---|---|---|---|---|
| 1649643446 | Franco Flores | Counselor | 1113 W Greenwood Avenue, Waukegan, IL 60085-8332 | 2015-11-03 |
| 1669071833 | Erica Slattery | Counselor | 671 S Lewis Ave, Waukegan, IL 60085-6101 | 2020-10-20 |
| 1588270656 | Alona Diane Miller | Counselor | 2025 Washington St, Waukegan, IL 60085-5131 | 2020-09-23 |
| 1740895481 | Ashley Perez | Counselor | 3010 Grand Ave, Waukegan, IL 60085-2321 | 2020-09-10 |
| 1528672839 | Haley Juliet Rainwater | Counselor | 3010 Grand Ave, Waukegan, IL 60085-2321 | 2020-09-03 |
| 1225663230 | Daisy Stephanie Zuluaga | Counselor | 3002 Grand Ave, Waukegan, IL 60085-2321 | 2020-03-10 |
| 1003465592 | Sindy Lorena Guerra | Counselor | 3010 Grand Ave, Waukegan, IL 60085-2321 | 2019-09-06 |
| 1467008474 | Alexandra Noelle Weidner | Counselor | 3010 Grand Ave, Waukegan, IL 60085-2321 | 2019-08-15 |
| 1073175774 | Damaris Aviles | Counselor | 3010 Grand Ave, Waukegan, IL 60085-2321 | 2019-07-02 |
| 1881253896 | Jazmin Sanchez | Counselor | 3010 Grand Ave, Waukegan, IL 60085-2321 | 2019-06-12 |
| Find all providers in WAUKEGAN | ||||
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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.