KATHERINE GOELITZ (NPI# 1124475405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124475405 |
| Entity Type | Individual |
| Full Name | KATHERINE GOELITZ |
| Credential | LCPC |
| Practice Address |
1915 W Roosevelt Rd Broadview IL 60155-2925 |
| Mailing Address |
1028 N Paulina St Chicago IL 60622-3857 |
| Practice Telephone | 7084980200 |
| Mailing Telephone | 7088789530 |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2016-10-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
180008392 | IL | Behavioral Health & Social Service Providers |
| Street Address |
1915 W ROOSEVELT RD |
| City | BROADVIEW |
| State | IL |
| Zip Code | 60155-2925 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730472275 | Way Back Inn | Substance Abuse Rehabilitation Facility | 1915 W Roosevelt Rd, Broadview, IL 60155-2925 | 2011-05-17 |
| 1831580588 | Healthcare Alternative Systems, Inc. | Clinic/Center | 1915 W Roosevelt Rd, Broadview, IL 60155-2925 | 2015-02-16 |
| 1154669059 | Philip William Schneeberger | Counselor | 1915 W Roosevelt Rd, Broadview, IL 60155-2925 | 2013-01-28 |
| 1629316534 | Robert Francis Oconnor | Counselor | 1915 W Roosevelt Rd, Broadview, IL 60155-2925 | 2013-01-28 |
| 1538407572 | Mark G Vail | Counselor | 1915 W Roosevelt Rd, Broadview, IL 60155-2925 | 2013-01-25 |
| 1609114644 | Jill Elizabeth Tregler | Counselor | 1915 W Roosevelt Rd, Broadview, IL 60155-2925 | 2013-01-25 |
| 1710239678 | Anita Maria Pindiur | Counselor | 1915 W Roosevelt Rd, Broadview, IL 60155-2925 | 2012-10-02 |
| 1093060741 | Way Back Inn | Counselor | 1915 W Roosevelt Rd, Broadview, IL 60155-2925 | 2012-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790176121 | Healthcare Alternative Systems, Inc. | Clinic/Center | 1915-17 W. Roosevelt Rd., Broadview, IL 60155 | 2015-02-06 |
| 1821379736 | Living Healthy Inc | Registered Nurse | 2205 W Roosevelt Road, Broadview, IL 60155 | 2011-09-06 |
| 1023324530 | Erin Reynolds | Nurse Practitioner | 800 Broadview Village Square, Broadview, IL 60155 | 2010-08-20 |
| 1285862490 | Patricia M Moser Od PC | Optometrist | 122-24 Broadview Village Square, Broadview, IL 60155 | 2009-06-25 |
| 1295762417 | Kiran Ram Bais | Family Medicine | 2127 S 17th Ave, Broadview, IL 60155 | 2006-06-26 |
| 1982092698 | Tiffany R Budzinski | Nurse Practitioner | 800 Broadview Village Square, Broadview, IL 60155 | 2015-01-05 |
| 1760789853 | Athletic and Therapeutic Institute of Naperville, LLC | Physical Therapist | 7000 Broadview Village Sq, Broadview, IL 60155-2600 | 2011-02-25 |
| 1083121263 | Lisa A Ufkes | Physical Therapist | 7000 Broadview Village Sq, Broadview, IL 60155-2600 | 2018-01-09 |
| 1093720203 | Walgreen Co | Pharmacy | 8000 Broadview Village Sq, Broadview, IL 60155-2601 | 2006-07-29 |
| 1467739904 | Brian Kubeczko | Pharmacist | 8000 Broadview Village Sq, Broadview, IL 60155-2601 | 2011-11-11 |
| Find all providers in zip 60155 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750508164 | Margo Young | Counselor | 1010 W 18th St, Broadview, IL 60155-5818 | 2007-04-19 |
| 1649312257 | Michael J Fonda | Counselor | 1820 S 25th Ave, Broadview, IL 60155-2864 | 2007-02-12 |
| 1861594095 | Jennifer Beth Henderson | Counselor | 2235 S 10th Ave, Broadview, IL 60155-4027 | 2006-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457952194 | Hope Kravetz | Counselor | 815 Belinder Ln, Schaumburg, IL 60173-6360 | 2020-11-07 |
| 1609477579 | Shantrell Patrice Sutton | Counselor | 5042 W Erie St, Chicago, IL 60644-1604 | 2020-11-05 |
| 1073114591 | Alternative Schools Network | Counselor | 1807 W Sunnyside Ave, Chicago, IL 60640-5898 | 2020-11-02 |
| 1992306518 | Gravity and Grace Psychotherapy, Pllc | Counselor | 1305 S Michigan Ave Apt 602, Chicago, IL 60605-3398 | 2020-11-02 |
| 1811597263 | April Wilburne | Counselor | 804 E 54th St Apt 3, Chicago, IL 60615-4972 | 2020-10-27 |
| 1043810393 | Pamela Kranyak | Counselor | 30 N Michigan Ave Ste 925, Chicago, IL 60602-3463 | 2020-10-27 |
| 1831798404 | Erin Frasco | Counselor | 622 Davis St # 200, Evanston, IL 60201-4491 | 2020-10-23 |
| 1568061224 | Alternative Counseling Solutions, Inc | Counselor | 6469 E Mccormick Rd, Stillman Valley, IL 61084-9736 | 2020-10-22 |
| 1396344537 | Janet M Wills | Counselor | 223 N Prospect Ave, Streamwood, IL 60107-4103 | 2020-10-19 |
| 1225637614 | Sharice Ellenwood | Counselor | 1087 N Village Dr, Round Lake Beach, IL 60073 | 2020-10-18 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KATHERINE GOELITZ.
| 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.