WILD INDIGO COUNSELING, LLC (NPI# 1114434305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114434305 |
| Entity Type | Organization |
| Organization Name | WILD INDIGO COUNSELING, LLC |
| Practice Address |
1363 S Wolf Rd Des Plaines IL 60018-1302 |
| Practice Telephone | 2242174854 |
| Mailing Telephone | 2242174854 |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2018-01-09 |
| Authorized Official Name | NANCY G. HALL (OWNER/MEMBER) |
| Authorized Official Telephone | 2242174854 |
| Authorized Official Credential | LCPC |
| Is Organization Subpart | N |
| 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 |
| Street Address |
1363 S WOLF RD |
| City | DES PLAINES |
| State | IL |
| Zip Code | 60018-1302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902463961 | Home Care Angels II, LLC | Homemaker | 2720 S. River Rd., Suite 116, Des Plaines, IL 60018 | 2019-05-24 |
| 1982175691 | Johnny Contreras | Physician Assistant | 1972 Welwyn Ave, Des Plaines, IL 60018 | 2018-12-07 |
| 1336618248 | Better Quality Healthcare LLC | Case Manager/Care Coordinator | 2340 S. River Rd, Des Plaines, IL 60018 | 2018-11-20 |
| 1467942631 | Reanna Peterman | Dietitian, Registered | 1400 E Touhy Ave Ste 300a, Des Plaines, IL 60018 | 2018-05-14 |
| 1902308497 | Gonzalez Clinical Therapy LLC | Clinic/Center | 1400 E Touhy Avenue Suite 240, Des Plaines, IL 60018 | 2018-03-01 |
| 1730689506 | Richard Leon | Specialist/Technologist | 2004 Cedar St, Des Plaines, IL 60018 | 2018-02-17 |
| 1285151449 | Silverado Hospice of Illinois Inc. | Hospice Care, Community Based | 1350 E Touhy Ave Ste 130, Des Plaines, IL 60018 | 2017-08-28 |
| 1588189336 | Sainilkumar Patel | Physical Therapist | 1200 S Leslie Ln, Na, Des Plaines, IL 60018 | 2017-08-12 |
| 1033642251 | Amitaben Patel | Nurse Practitioner | 2250 E Devon Ave Ste 333, Des Plaines, IL 60018 | 2017-04-05 |
| 1487048831 | Tx Enterprises | Acupuncturist | 1784 E. Oakton, #106, Des Plaines, IL 60018 | 2015-03-24 |
| Find all providers in zip 60018 | ||||
| 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 |
|---|---|---|---|---|
| 1902308497 | Gonzalez Clinical Therapy LLC | Clinic/Center | 1400 E Touhy Avenue Suite 240, Des Plaines, IL 60018 | 2018-03-01 |
| 1497924120 | Trinity Services Inc. | Clinic/Center | 2101 Oxford Rd., Des Plaines, IL 60018-1919 | 2008-02-27 |
| 1861901043 | Rosecrance Inc. | Clinic/Center | 701 Lee St, Des Plaines, IL 60016-4539 | 2017-09-20 |
| 1609223957 | Family Guidance Centers, Inc. | Clinic/Center | 484 Lee St, Des Plaines, IL 60016-4610 | 2016-05-17 |
| 1104146760 | Trinity Services Inc. | Clinic/Center | 2101 Oxford Rd, Des Plaines, IL 60018-1919 | 2010-06-07 |
| 1588810550 | Proviso Family Services | Clinic/Center | 100 N River Rd, Des Plaines, IL 60016-1209 | 2008-08-11 |
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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 | ||||
| City | DES PLAINES |
| Zip Code | 60018 |
Please comment or provide details below to improve the information on WILD INDIGO COUNSELING, LLC.
| 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.