DR. JANICE L. MATLOCK (NPI# 1124177878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124177878 |
| Entity Type | Individual |
| Full Name | DR. JANICE L. MATLOCK |
| Credential | MFT |
| Practice Address |
45 S Park Blvd Ste 255 Glen Ellyn IL 60137-6280 |
| Mailing Address |
545 S Fulmer St Nauvoo IL 62354-1307 |
| Practice Telephone | 6309428803 |
| Practice Fax Number | 6309428845 |
| Mailing Telephone | 2174536783 |
| Mailing Fax Number | 2174536783 |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | IL | Behavioral Health & Social Service Providers |
| Street Address |
45 S PARK BLVD STE 255 |
| City | GLEN ELLYN |
| State | IL |
| Zip Code | 60137-6280 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437138047 | Bruce Sonnenberg Wardell | Dentist | 45 S Park Blvd, Suite 220, Glen Ellyn, IL 60137-6280 | 2006-01-12 |
| 1659993681 | Erika Berg | Counselor | 45 S Park Blvd, Glen Ellyn, IL 60137-6280 | 2020-05-13 |
| 1164908547 | Serendipity Counseling Services, Inc | Clinic/Center | 45 S Park Blvd, Glen Ellyn, IL 60137-6280 | 2018-07-18 |
| 1063954477 | Glen Ellyn Orthodontics, PC | Clinic/Center | 45 S Park Blvd, Suite 220, Glen Ellyn, IL 60137-6280 | 2016-11-16 |
| 1194178111 | Park Blvd Dentistry | Dentist | 45 S Park Blvd, Ste 190, Glen Ellyn, IL 60137-6280 | 2016-07-14 |
| 1952767733 | Life Care Wellness, Inc. | Counselor | 45 S Park Blvd, Suite 200, Glen Ellyn, IL 60137-6280 | 2016-01-08 |
| 1831528389 | Meredith Lynne Mehner | Social Worker | 45 S Park Blvd, Suite 255, Glen Ellyn, IL 60137-6280 | 2013-11-05 |
| 1477982361 | Heather Nickrand | Counselor | 45 S Park Blvd, Suite 200, Glen Ellyn, IL 60137-6280 | 2013-11-01 |
| 1659713543 | Lifecare Counseling & Wellness, LLC | Counselor | 45 S Park Blvd, Ste 200, Glen Ellyn, IL 60137-6280 | 2013-07-22 |
| 1518207455 | Sam Faber Reif | Counselor | 45 S Park Blvd, Suite 130, Glen Ellyn, IL 60137-6280 | 2013-02-28 |
| Find all providers in the same location | ||||
| 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 | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407401847 | Fei Yee | Marriage & Family Therapist | 346 Taft Ave Ste 30, Glen Ellyn, IL 60137-6296 | 2019-08-02 |
| 1215595780 | Kelsey Leigh Abiera | Marriage & Family Therapist | 499 Anthony St, Glen Ellyn, IL 60137-4419 | 2019-05-30 |
| 1396258018 | William Paul Cleary | Marriage & Family Therapist | 460 N Main St Ste 205, Glen Ellyn, IL 60137-5176 | 2017-11-16 |
| 1972012508 | Shengmei Qi | Marriage & Family Therapist | 346 Taft Ave Ste 30, Glen Ellyn, IL 60137-6296 | 2017-09-26 |
| 1851762728 | Wayne Corapi | Marriage & Family Therapist | 346 Taft Ave, Suite 030, Glen Ellyn, IL 60137-6296 | 2015-10-16 |
| 1518003185 | Kristy Pier | Marriage & Family Therapist | 45 S Park Blvd, #255, Glen Ellyn, IL 60137-6280 | 2007-01-30 |
| 1366511651 | Tracy Margaret Groesser | Marriage & Family Therapist | 45 S Park Blvd, Suite 255, Glen Ellyn, IL 60137-6280 | 2006-11-08 |
| 1104833722 | Marcia Gleaves Forrest | Marriage & Family Therapist | 516 N Main St, Suite C, Glen Ellyn, IL 60137-5175 | 2006-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073112595 | Shira Galston LLC | Marriage & Family Therapist | 2941 W Lunt Ave, Chicago, IL 60645-2919 | 2020-10-26 |
| 1568061075 | Caitlin Suzanne Sickler | Marriage & Family Therapist | 311 N 2nd St Ste 203, St Charles, IL 60174-1850 | 2020-10-26 |
| 1124627005 | Sparkle L Nicks | Marriage & Family Therapist | 10508 Churchill Dr, Peoria, IL 61615-1178 | 2020-10-21 |
| 1689272304 | Victoria Annette Barrows | Marriage & Family Therapist | 3036 W Irving Park Rd Fl 2, Chicago, IL 60618-3539 | 2020-10-14 |
| 1326646449 | Stephen Patrick Stewart | Marriage & Family Therapist | 4539 S Indiana Ave Apt 3, Chicago, IL 60653-5244 | 2020-10-12 |
| 1083220107 | Michaela Margaret Choy | Marriage & Family Therapist | 1165 N Clark St Ste 411, Chicago, IL 60610-7473 | 2020-09-23 |
| 1770199861 | Hana Yoo | Marriage & Family Therapist | 201 E Ogden Ave Ste 217, Hinsdale, IL 60521-3612 | 2020-09-23 |
| 1376158220 | Janea N Vinson | Marriage & Family Therapist | 501 E 32nd St Apt 908, Chicago, IL 60616-4076 | 2020-09-08 |
| 1467065672 | Life Balance Counseling Peoria, Pllc | Marriage & Family Therapist | 8305 N Allen Rd Ste 6, Peoria, IL 61615-1816 | 2020-08-26 |
| 1700497559 | Elisabeth Sanders | Marriage & Family Therapist | 302 W Green St, Bensenville, IL 60106-2410 | 2020-08-14 |
| 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.