KASSANDRA MCMILLAN (NPI# 1043860117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043860117 |
| Entity Type | Individual |
| Full Name | KASSANDRA MCMILLAN |
| Practice Address |
1845 Grandstand Pl Elgin IL 60123-6603 |
| Practice Telephone | 8476950484 |
| Enumeration Date | 2019-09-19 |
| Last Update Date | 2020-10-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 101YP2500X |
Counselor Specialization: Professional |
178016162 | IL | Behavioral Health & Social Service Providers |
| N | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 171M00000X | Case Manager/Care Coordinator | 178016162 | IL | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2025 Washington St, Waukegan, IL 600855131 | 8473601065 | |
| 12 Health Services Dr, Dekalb, IL 601159637 | 8157564875 |
| Street Address |
1845 GRANDSTAND PL |
| City | ELGIN |
| State | IL |
| Zip Code | 60123-6603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275629263 | Daphne Sandouka | Counselor | 1845 Grandstand Pl, Elgin, IL 60123-6603 | 2006-10-05 |
| 1649879123 | Rizik Mohammad | Counselor | 1845 Grandstand Pl, Elgin, IL 60123-6603 | 2020-10-26 |
| 1649877606 | Daniel James Gibadlo | Counselor | 1845 Grandstand Pl, Elgin, IL 60123-6603 | 2020-10-02 |
| 1689281073 | Melissa Pazen | Social Worker | 1845 Grandstand Pl, Elgin, IL 60123-6603 | 2020-09-29 |
| 1205441649 | Erik Malinowski | Counselor | 1845 Grandstand Pl, Elgin, IL 60123-6603 | 2020-09-12 |
| 1225643174 | Jay Jackson Swanson | Counselor | 1845 Grandstand Pl, Elgin, IL 60123-6603 | 2020-09-08 |
| 1487267985 | Kira Lucille Spears | Case Manager/Care Coordinator | 1845 Grandstand Pl, Elgin, IL 60123-6603 | 2020-08-25 |
| 1649880402 | Matthew F Aguilar | Counselor | 1845 Grandstand Pl, Elgin, IL 60123-6603 | 2020-08-06 |
| 1306455308 | Michael Richard Jenig | Counselor | 1845 Grandstand Pl, Elgin, IL 60123-6603 | 2020-07-26 |
| 1972129153 | Courtney Perrin | Social Worker | 1845 Grandstand Pl, Elgin, IL 60123-6603 | 2020-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629625736 | Edna Lopez | Social Worker | 1140 N. Mclean Blvd #1, Elgin, IL 60123 | 2019-08-22 |
| 1003472259 | Katelyn Lee O'connell | Counselor | 695 S. Sate Street, Elgin, IL 60123 | 2019-05-14 |
| 1598235152 | Katie Elizabeth Dwyer | Counselor | 695 S. State Street, Elgin, IL 60123 | 2018-11-27 |
| 1174002778 | James M Accetta | Counselor | 52 Surry Drive, Elgin, IL 60123 | 2018-08-14 |
| 1770086175 | Griswold Home Care | Adult Companion | 707 A Davis Road, Suite 203, Elgin, IL 60123 | 2018-03-12 |
| 1003315706 | Danielle Bryant | Nurse Practitioner | 745 Fletcher Dr Ste 101, Elgin, IL 60123 | 2018-02-08 |
| 1912421470 | Deborah Foshager | Counselor | 680 Shenandoah Trail, Elgin, IL 60123 | 2017-07-26 |
| 1760903470 | Miguel Camargo | Specialist/Technologist | 12 N Aldine St, Elgin, IL 60123 | 2017-07-03 |
| 1134658594 | David Sommer | Counselor | 1460 Umbdenstock Rd, Elgin, IL 60123 | 2017-06-08 |
| 1649719618 | Faheem Unisa Syed | Clinical Nurse Specialist | 1990 Larkin Ave., Elgin, IL 60123 | 2017-02-23 |
| Find all providers in zip 60123 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154949782 | Alexusia Dickerson | Counselor | 115 Catawba Hill Dr, Elgin, SC 29045-7140 | 2020-07-09 |
| 1902445075 | Eiliana M Silva | Counselor | 75 Market St Ste 12, Elgin, IL 60123-5061 | 2020-01-06 |
| 1093290124 | Nicholas W. Marchand | Counselor | 411 W River Rd, Elgin, IL 60123-1570 | 2018-09-25 |
| 1659855856 | Susan Virginia Raica | Counselor | 420 Wing Street,suite3, Elgin, IL 60123-6012 | 2018-09-24 |
| 1265963813 | Mary Peterson | Counselor | 221 Loesch Dr, Elgin, TX 78621-1101 | 2017-03-24 |
| 1699221440 | Stanley Glenn Bell | Counselor | 101 W 1st St, Suite F, Elgin, TX 78621-2659 | 2016-08-31 |
| 1659753002 | Piper Stratton | Counselor | 2000 Larkin Ave Ste 202, Elgin, IL 60123-5879 | 2015-06-22 |
| 1679901508 | Meghan Elizabeth Barrett | Counselor | 1845 Grandstand Pl Ste 200, Elgin, IL 60123-4983 | 2013-11-01 |
| 1396089538 | Michaela Sasheva Long | Counselor | 2362 South St Apt E, Elgin, IL 60123-4600 | 2012-11-10 |
| 1427306042 | Eric Mitchell Porter | Counselor | 452 N Mclean Blvd, Elgin, IL 60123-3273 | 2012-08-29 |
| Find all providers in ELGIN | ||||
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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.