SAMANTHA CHRISTINE WALSH (NPI# 1013559772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013559772 |
| Entity Type | Individual |
| Full Name | SAMANTHA CHRISTINE WALSH |
| Practice Address |
420 Pennsylvania Ave Ste 101 Glen Ellyn IL 60137-4427 |
| Practice Telephone | 6304744353 |
| Mailing Telephone | 6304744353 |
| Enumeration Date | 2019-10-15 |
| Last Update Date | 2019-10-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 221700000X | Art Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | IDFPR LISENCE NUMBER | 178015101 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972071645 | Samantha Marie Walsh | Physical Therapy Assistant | 3001 E Elm St, Harrisonville, MO 64701-1196 | 2018-11-11 |
| 1023516754 | Samantha Walsh | Physician Assistant | 10628 Park Rd, Charlotte, NC 28210-8407 | 2018-01-29 |
| 1144736158 | Samantha Walsh | Physical Therapy Assistant | 100 Mount Allen Dr, Mechanicsburg, PA 17055-6171 | 2017-12-28 |
| 1851648216 | Samantha Ann Walsh | Social Worker | 800 Cummings Ctr, Suite 364u, Beverly, MA 01915-6175 | 2012-08-04 |
| 1437432028 | Samantha J Walsh | Physician Assistant | 100 Knowlson Ave, Beaver Falls, PA 15010-1634 | 2011-09-21 |
| Street Address |
420 PENNSYLVANIA AVE STE 101 |
| City | GLEN ELLYN |
| State | IL |
| Zip Code | 60137-4427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902319916 | Marvelous Minds, Inc | Psychologist | 420 Pennsylvania Ave Ste 101, Glen Ellyn, IL 60137-4427 | 2017-11-13 |
| 1487288015 | Andrea Burkly | Counselor | 420 Pennsylvania Ave Ste 101, Glen Ellyn, IL 60137-4427 | 2020-02-21 |
| 1346896966 | Andrew D Carson | Psychologist | 420 Pennsylvania Ave Ste 101, Glen Ellyn, IL 60137-4427 | 2019-08-11 |
| 1215421458 | Analysia Amor Aguilar Dahlstrom | Counselor | 420 Pennsylvania Ave Ste 101, Glen Ellyn, IL 60137 | 2018-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619616 | Hetal Patel | Pharmacist | 3 S 100 Rt 53, Glen Ellyn, IL 60137 | 2020-11-02 |
| 1285234930 | Arti Rai | Pharmacist | 3s100 Route 53, Glen Ellyn, IL 60137 | 2020-10-30 |
| 1427658103 | Dimple Zaveri | Pharmacist | 3s 100 Route 53, Glen Ellyn, IL 60137 | 2020-10-30 |
| 1528668373 | Stephanie Caballero Novak | Social Worker | Life Care Wellness, Inc., 800 Roosevelt Rd Building C Suite 206, Glen Ellyn, IL 60137 | 2020-10-30 |
| 1669025367 | Christine Marie Penway | Physical Therapist | 854 Roosevelt Rd Unit E10, Glen Ellyn, IL 60137 | 2019-07-22 |
| 1730652314 | Camille Elizabeth Hawkins | Counselor | 22 W 66 Hackberry, Glen Ellyn, IL 60137 | 2019-01-07 |
| 1710454939 | Jacquelyn Rose Wescott | Student in an Organized Health Care Education/Training Program | 178 Macintosh Ct., Glen Ellyn, IL 60137 | 2018-10-25 |
| 1184133985 | Young Men's Christian Association of Northwestern Du Page County | Health Educator | 49 Deicke Drive, Glen Ellyn, IL 60137 | 2017-09-25 |
| 1447781208 | Neoly Home Care LLC | In Home Supportive Care | N 455 Main Street, Glen Ellyn, IL 60137 | 2017-03-23 |
| 1205283397 | Dianna Christina Ciardullo | Pharmacist | 599 E Roosevelt Road, Glen Ellyn, IL 60137 | 2016-05-18 |
| Find all providers in zip 60137 | ||||
| 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 |
|---|---|---|---|---|
| 1275071532 | Kimberly Rothwell | Counselor | 45 S Park Blvd Ste 200, Glen Ellyn, IL 60137-6282 | 2017-02-07 |
| 1982933990 | Courtney Erin Bowman | Counselor | 800 Roosevelt Rd Bldg B, 419b, Glen Ellyn, IL 60137-5839 | 2009-12-22 |
| 1962736579 | Sara Lapacka | Counselor | 881 Ellynwood Dr, Glen Ellyn, IL 60137-4277 | 2009-09-29 |
| 1801968870 | Siri Ellyn Hansen | Counselor | 346 Taft Ave Ste 202, Glen Ellyn, IL 60137-6296 | 2006-11-15 |
| 1023625118 | Michelle J Kim | Counselor | 499 Anthony St, Glen Ellyn, IL 60137-4468 | 2020-09-23 |
| 1467074021 | Julia Ann Ahlers | Counselor | 500 Roosevelt Rd Ste 205, Glen Ellyn, IL 60137-2600 | 2020-05-17 |
| 1487288015 | Andrea Burkly | Counselor | 420 Pennsylvania Ave Ste 101, Glen Ellyn, IL 60137-4427 | 2020-02-21 |
| 1841655529 | Laura Koziej | Counselor | 720 Roosevelt Rd, Glen Ellyn, IL 60137-5806 | 2015-12-22 |
| 1114395985 | Sabaahath Noor Latifi | Counselor | 999 N Main St, Glen Ellyn, IL 60137-3581 | 2015-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154922813 | Valerie Ann Taylor | Counselor | 1230 N Washington Ave, Batavia, IL 60510-1369 | 2020-11-07 |
| 1073114088 | Astrid Larsen | Counselor | 2317 Timberline Trl, Woodstock, IL 60098-8759 | 2020-11-05 |
| 1932708690 | Mucci World Management Inc,. | Counselor | 7913 171st St, Tinley Park, IL 60477-3244 | 2020-10-22 |
| 1679172373 | Alexander Czop | Counselor | 1250 Chestnut Ave, Wilmette, IL 60091-1616 | 2020-10-22 |
| 1427656859 | Mica Coleman | Counselor | 5800 Allemong Dr, Matteson, IL 60443-1108 | 2020-10-16 |
| 1386242873 | Kelly Mann | Counselor | 301 S Henry St, Ashkum, IL 60911-7119 | 2020-10-15 |
| 1245838549 | Erika Leigh Heatley | Counselor | 32w755 Albert Dr, East Dundee, IL 60118-3202 | 2020-10-09 |
| 1851999080 | Linda D Odaniel | Counselor | 12904 Division St Apt 2a, Blue Island, IL 60406-3420 | 2020-10-09 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | GLEN ELLYN |
| Zip Code | 60137 |
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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.