JANE ADDAMS (NPI# 1073127148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073127148 |
| Entity Type | Organization |
| Organization Name | JANE ADDAMS |
| Practice Address |
3001 Highland View Dr Freeport IL 61032-6942 |
| Mailing Address |
Po Box 813 Freeport IL 61032-0813 |
| Practice Telephone | 8155997300 |
| Enumeration Date | 2020-09-04 |
| Last Update Date | 2020-09-04 |
| Authorized Official Name | ASHLEY ANNE MAZZARISI (PROVIDER ENROLLMENT) |
| Authorized Official Telephone | 8155997935 |
| Is Organization Subpart | Y |
| Parent Organization Name | JANE ADDAMS COMMUNITY MENTAL HEALTH CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| FHN Family Counseling Center | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | JANE ADDAMS ELEMENTARY SCHOOL | 1020 Sayles Dr, Palatine, IL 60074-7274 |
| Washington State Corporations | JANE ADDAMS MIDDLE SCHOOL PTSA | 11051 34th Ave Ne, Seattle, WA 98125-6805 |
| System for Award Management (SAM) Entities | JANE ADDAMS RESOURCE CORPORATION - BALTIMORE | 4910 Park Heights Ave, Baltimore, MD 21215-6012 |
| Street Address |
3001 HIGHLAND VIEW DR |
| City | FREEPORT |
| State | IL |
| Zip Code | 61032-6942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780657270 | Brian T Bennett | Family Medicine | 3001 Highland View Dr, Freeport, IL 61032-6942 | 2006-02-07 |
| 1396199162 | Kathleen Marie Ehlbeck | Family Medicine | 3001 Highland View Dr, Freeport, IL 61032 | 2016-04-19 |
| 1346684248 | Tiffany L Kuhlmeyer | Nurse Practitioner | 3001 Highland View Dr, Freeport, IL 61032-6942 | 2013-04-22 |
| 1043355100 | Freeport Regional Health Care Foundation | Durable Medical Equipment & Medical Supplies | 3001 Highland View Dr, Freeport, IL 61032-6942 | 2007-02-20 |
| 1164498366 | Terry L Miller | Family Medicine | 3001 Highland View Dr, Freeport, IL 61032-6942 | 2006-02-27 |
| 1578539789 | Allen Workman | Family Medicine | 3001 Highland View Dr, Freeport, IL 61032-6942 | 2006-02-27 |
| 1689640005 | Christopher W Jelinek | Family Medicine | 3001 Highland View Dr, Freeport, IL 61032-6942 | 2006-02-25 |
| 1770556672 | Rebecca L Pedersen | Family Medicine | 3001 Highland View Dr, Freeport, IL 61032-6942 | 2006-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517713 | Saad Awan | Pharmacist | 2545 Illinois 26 S, Freeport, IL 61032 | 2020-10-30 |
| 1891354460 | Freeport Chiropractic LLC | Chiropractor | 2 W Stephenson St, Freeport, IL 61032 | 2019-06-07 |
| 1487168373 | Lindsey Rae Harris-baker | Speech-Language Pathologist | 1802 W Laurel St, Freeport, IL 61032 | 2017-11-30 |
| 1861871246 | Pearl Pavilion LLC | Skilled Nursing Facility | 910 Kiwanis Drive, Freeport, IL 61032 | 2015-05-19 |
| 1245584598 | Mary E Brown | Massage Therapist | 815 W. Pleasant Street, Freeport, IL 61032 | 2012-11-07 |
| 1700135803 | April Braband | Specialist | 421 Exchange, Freeport, IL 61032 | 2012-09-05 |
| 1518198662 | Quad City Prosthetic Inc | Prosthetic/Orthotic Supplier | 1013 W Loras Dr, Suite A, Freeport, IL 61032 | 2009-08-06 |
| 1447486501 | Gary Alan Besley | Dentist | 1450 S. West Ave., Freeport, IL 61032 | 2009-06-03 |
| 1023244290 | Allies In Health Sc | Chiropractor | 418 W Meadows Dr., Freeport, IL 61032 | 2009-06-02 |
| 1912146614 | Kayla Nicole Rodebaugh | Specialist/Technologist | 1010 Fairway Drive, Freeport, IL 61032 | 2009-02-19 |
| Find all providers in zip 61032 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861458697 | Assault & Abuse Services of Stephenson County | Clinic/Center | 222 West Spring St, Freeport, IL 61032-4321 | 2006-04-21 |
| 1336623453 | Jane Addams Community Mental Health Center | Clinic/Center | 1010 Fairway Dr, Freeport, IL 61032-6600 | 2018-09-25 |
| 1740344514 | A Center for The Awareness of Pattern | Clinic/Center | 143 Flying Point Rd, Freeport, ME 04032 | 2006-12-19 |
| 1124190335 | Jane Addams Community Mental Health Center | Clinic/Center | 421 W Exchange St, Freeport, IL 61032-4030 | 2006-11-14 |
| 1831110972 | Catholic Charities of The Diocese of Rockville Centre | Clinic/Center | 333 N Main St, Freeport, NY 11520-1231 | 2006-07-22 |
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|---|---|---|---|---|
| 1225639990 | Mindy Forman, Psyd, LLC | Clinic/Center | 1020 Milwaukee Ave Ste 110, Deerfield, IL 60015-3555 | 2020-11-07 |
| 1346840295 | Stopka Professional Counseling LLC | Clinic/Center | 13125 Steeplechase Dr, New Lenox, IL 60451-1320 | 2020-10-29 |
| 1346848785 | Wellness Hearted Therapy LLC | Clinic/Center | 2675 S Cedar Glen Dr, Arlington Heights, IL 60005-5303 | 2020-10-16 |
| 1457959256 | Association for Individual Development | Clinic/Center | 708 N Bridge St, Yorkville, IL 60560-1105 | 2020-10-14 |
| 1285231555 | Association for Individual Development | Clinic/Center | 236 W Crystal Lake Ave, Crystal Lake, IL 60014-5847 | 2020-10-08 |
| 1386241123 | Envision Unlimited | Clinic/Center | 1801 N Spaulding Ave, Chicago, IL 60647-4926 | 2020-10-05 |
| 1881291789 | Jessica Weisbach, LLC | Clinic/Center | 2257 N Kedzie Blvd Apt 3, Chicago, IL 60647-2561 | 2020-10-04 |
| 1619574803 | Envision Unlimited | Clinic/Center | 2124 W 82nd Pl, Chicago, IL 60620-5358 | 2020-10-01 |
| 1144827320 | Envision Unlimited | Clinic/Center | 4919 N Clark St, Chicago, IL 60640-3514 | 2020-10-01 |
| 1194322370 | Envision Unlimited | Clinic/Center | 4911 S Hoyne Ave, Chicago, IL 60609-4721 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
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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.