SHABAD KAUR KHALSA


Address: 4256 N Ravenswood Ave Ste 219, Chicago, IL 60613-1114
Phone: 7734803273

SHABAD KAUR KHALSA (NPI# 1154365831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154365831
Entity Type Individual
Full Name SHABAD KAUR KHALSA
Credential LCPC, LMFT
Practice Address 4256 N Ravenswood Ave Ste 219
Chicago
IL 60613-1114
Mailing Address 4255 N Honore St Ste 219
Chicago
IL 60613-4572
Practice Telephone 7734803273
Mailing Telephone 7739759754
Enumeration Date 2006-06-15
Last Update Date 2018-03-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
180005774 IL Behavioral Health & Social Service Providers
N 106H00000X Marriage & Family Therapist 166000327 IL Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
3717 N Ravenswood Ave, Chicago, IL 606133880 7734803273

Office Location

Street Address 4256 N RAVENSWOOD AVE STE 219
City CHICAGO
State IL
Zip Code 60613-1114

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467975417 Inner Outlook, Inc. Counselor 4256 N Ravenswood Ave Ste 219, Chicago, IL 60613-1114 2017-07-21
1316498058 Richard David Bograd I Social Worker 4256 N Ravenswood Ave Ste 219, Chicago, IL 60613-1114 2016-10-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588261978 Thorek Radiology Group Nfp Radiology 850 West Irving Park Road, Chicago, IL 60613 2020-10-08
1760034128 Maryellen Karas Lajeunesse Social Worker 3930 N. Pine Grove Ave, #2403, Chicago, IL 60613 2019-07-15
1801366430 Stephanie A Dykema Psychologist 4043 N Ravenswood Ave Suite 302, Chicago, IL 60613 2018-11-27
1487154191 Alan Tsang Counselor 655 W Irving Park Rd Ste 203, Chicago, IL 60613 2018-02-19
1972015782 Integrated Ortho, LLC. Durable Medical Equipment & Medical Supplies 3717 N. Ravenswood Ave, Suite 219w, Chicago, IL 60613 2017-11-02
1073048005 Claire Jolly Social Worker 3701 N Ravenswood Ave Ste 301, Chicago, IL 60613 2017-04-27
1730626011 Marc Fagan Psychologist 4101 N Ravenswood Ave., Chicago, IL 60613 2017-01-25
1205385671 Sara Turner Psychologist 3855 N Greenview Ave # 2a, Chicago, IL 60613 2016-09-27
1962955997 Michelle Montero Psychologist 925 W Dakin St Apt 405, Chicago, IL 60613 2016-07-26
1063883494 Athletico, Ltd Physical Therapist 3922 North Sheridan Rd, Chicago, IL 60613 2015-10-12
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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
1003413378 Erika Aguirre Counselor 5040 S Keating Ave., Chicago, IL 60632-4919 2020-10-08
1497361661 Michael V Biederman Counselor 4254 N Mozart St Apt 2s, Chicago, IL 60618-1784 2020-09-22
1013523984 Antionette Fisher Counselor 5703 S Peoria St, Chicago, IL 60621-2262 2020-09-16
1114532561 Nefesh Counseling, LLC Counselor 3320 W Foster Ave # 124, Chicago, IL 60625-4813 2020-09-12
1114531043 Katherine E Evans Counselor 1528 W Jonquil Ter Unit 2c, Chicago, IL 60626-5932 2020-09-08
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Competitor

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City CHICAGO
Zip Code 60613

Improve Information

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Dataset Information

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.

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