MCHENRY COUNTY MENTAL HEALTH BOARD (NPI# 1134377328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134377328 |
Entity Type | Organization |
Organization Name | MCHENRY COUNTY MENTAL HEALTH BOARD |
Practice Address |
2200 N Seminary Ave Annex A Woodstock IL 60098-2637 |
Mailing Address |
620 Dakota St Crystal Lake IL 60012-3732 |
Practice Telephone | 8154552828 |
Mailing Telephone | 8154552828 |
Mailing Fax Number | 8154552925 |
Enumeration Date | 2008-09-03 |
Last Update Date | 2008-09-03 |
Authorized Official Name | MRS. ALEXANDRIA LEWIS (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 8154552828 |
Is Organization Subpart | Y |
Parent Organization Name | COUNTY OF MCHENRY ILLINOIS |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | 008 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598912149 | Mchenry County Mental Health Board | Clinic/Center | 5320 W Elm St, Mchenry, IL 60050-4029 | 2008-08-26 |
1376671461 | Mchenry County Mental Health Board | Clinic/Center | 620 Dakota St, Crystal Lake, IL 60012-3732 | 2007-03-01 |
1154579068 | Mchenry County Mental Health Board | Clinic/Center | 620 Dakota St, Crystal Lake, IL 60012-3732 | 2008-09-04 |
1902053655 | Mchenry County Mental Health Board | Clinic/Center | 527 W South St, Woodstock, IL 60098-3756 | 2008-08-25 |
Street Address |
2200 N SEMINARY AVE ANNEX A |
City | WOODSTOCK |
State | IL |
Zip Code | 60098-2637 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134161896 | Mchenry County Department of Health | Clinic/Center | 2200 N Seminary Ave, Woodstock, IL 60098-2637 | 2006-06-10 |
1871855213 | County of Mchenry Illinois | Clinic/Center | 2200 N Seminary Ave, Woodstock, IL 60098-2637 | 2012-06-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083197453 | Abb Dental Group LLC | Dentist | 11585 Us 14, Woodstock, IL 60098 | 2018-09-12 |
1396256467 | Gezelle Adams | Social Worker | 1200 Walden Oaks Dr, Woodstock, IL 60098 | 2017-10-17 |
1861910721 | Letitia Susan Edgell | Technician | 503 Lawndale Ave., Woodstock, IL 60098 | 2017-08-31 |
1104355460 | Jessica Evertsen | Doula | 435 Laurel Ave, Woodstock, IL 60098 | 2017-06-08 |
1871026724 | Bo Yeon Bartilotta | Dentist | 11585 Us-14, Woodstock, IL 60098 | 2017-04-07 |
1619337185 | Julia Karibian | Community Health Worker | 2983 Strauss Court, Woodstock, IL 60098 | 2016-02-26 |
1407249170 | Julia Bonti | Counselor | 13318 Hickory Ln, Woodstock, IL 60098 | 2015-03-05 |
1427485580 | Sara E Smedinghoff | Physical Therapy Assistant | 708 Washington Street, Woodstock, IL 60098 | 2013-10-03 |
1669721783 | Robert Eugene Haraden | Dentist | 651 S. Eastwood Dr, Woodstock, IL 60098 | 2012-09-05 |
1831447440 | Carla Peltier | Social Worker | 101 South Jefferson Street, Woodstock, IL 60098 | 2012-08-29 |
Find all providers in zip 60098 |
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 |
---|---|---|---|---|
1093338246 | Association for Individual Development | Clinic/Center | 1201 Dean St Lowr Level, Woodstock, IL 60098-3803 | 2020-05-22 |
1366906778 | Center for Authentic Life & Relationship, LLC | Clinic/Center | 1426 Olde Forge Ln, Woodstock, GA 30189-1553 | 2019-01-30 |
1508341413 | Resiliency Therapy Services | Clinic/Center | 213 Highland Park Pt, Woodstock, GA 30188-4897 | 2018-09-26 |
1952858557 | Tranquility Counseling Services | Clinic/Center | 8744 Main Street, 303, Woodstock, GA 30188 | 2016-09-01 |
1083861975 | The Thresholds | Clinic/Center | 3909 Raycraft Rd, Woodstock, IL 60098-8307 | 2008-08-21 |
1962036921 | Northern Illinois Medical Center | Clinic/Center | 3701 Doty Rd, Woodstock, IL 60098-7509 | 2020-02-28 |
1285278432 | Pioneer Center for Human Services | Clinic/Center | 13707 W Jackson St, Woodstock, IL 60098-3188 | 2019-10-31 |
1912551490 | Next Level Counseling and Wellness LLC | Clinic/Center | 226 W Judd St, Woodstock, IL 60098-3158 | 2019-08-01 |
1295215606 | Flow of Wellness LLC | Clinic/Center | 205 River Park North Dr, Woodstock, GA 30188-7835 | 2018-08-15 |
1952890105 | Rose Kihara Nurse Practitioner LLC | Clinic/Center | 39 Route 171, Woodstock, CT 06281 | 2018-05-03 |
Find all providers in WOODSTOCK |
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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.