JENNIFER N ORTIZ (NPI# 1174058556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174058556 |
| Entity Type | Individual |
| Full Name | JENNIFER N ORTIZ |
| Practice Address |
3002 Grand Ave Waukegan IL 60085-2321 |
| Practice Telephone | 8473778190 |
| Practice Fax Number | 8479845961 |
| Mailing Telephone | 8473778190 |
| Mailing Fax Number | 8479845961 |
| Enumeration Date | 2017-04-24 |
| Last Update Date | 2017-04-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669877767 | Jennifer Ortiz | Behavioral Analyst | 28 Somerset St, Springfield, MA 01108-2616 | 2014-10-31 |
| 1811239411 | Jennifer Rose-marie Ortiz | Social Worker | 2685 Armstrong Rd Apt Z5, Wooster, OH 44691-9041 | 2013-03-21 |
| 1134729429 | Jennifer Ortiz | Behavior Technician | 7529 Standish Pl Ste 355, Derwood, MD 20855-2733 | 2020-10-27 |
| 1467098350 | Jennifer Ortiz | Registered Nurse | 15 Quade St, Glens Falls, NY 12801-2724 | 2019-11-26 |
| 1770047730 | Jennifer Rosa Ortiz | Licensed Vocational Nurse | 10429 International Blvd, Oakland, CA 94603-3221 | 2019-01-24 |
| 1114417136 | Jennifer Ortiz | Behavioral Analyst | 3040 N Wilton Ave Fl 2, Chicago, IL 60657-4424 | 2018-05-15 |
| 1538616651 | Jennifer Alexis Ortiz | Psychologist | 401 Quarry Rd, Dept. of Psychiatry, Stanford, CA 94305-5722 | 2016-09-07 |
| 1013360452 | Jennifer Ortiz | Counselor | 66 Pavilion Ave, Providence, RI 02905-1522 | 2016-07-21 |
| 1033577655 | Jennifer Ortiz | Case Manager/Care Coordinator | 1340 S Waldron Rd, Fort Smith, AR 72903-2556 | 2016-02-10 |
| 1992183610 | Jennifer Ortiz | Dietitian, Registered | 700 Ne 13th St, Oklahoma City, OK 73104-5004 | 2015-05-14 |
| Street Address |
3002 GRAND AVE |
| City | WAUKEGAN |
| State | IL |
| Zip Code | 60085-2321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811109184 | County of Lake | Clinic/Center | 3002 Grand Ave, Waukegan, IL 60085-2321 | 2007-05-07 |
| 1225663230 | Daisy Stephanie Zuluaga | Counselor | 3002 Grand Ave, Waukegan, IL 60085-2321 | 2020-03-10 |
| 1548807373 | Thomas Lamar Wise-bey | Counselor | 3002 Grand Ave, Waukegan, IL 60085-2321 | 2019-11-27 |
| 1669017711 | Matthew David Pikus | Counselor | 3002 Grand Ave, Waukegan, IL 60085-2321 | 2019-11-13 |
| 1639720899 | Michelle Marie Grace | Counselor | 3002 Grand Ave, Waukegan, IL 60085-2321 | 2019-09-27 |
| 1790346989 | Karina Ortiz | Registered Nurse | 3002 Grand Ave, Waukegan, IL 60085-2321 | 2019-06-27 |
| 1184287666 | Audrey Ringer | Registered Nurse | 3002 Grand Ave, Waukegan, IL 60085-2321 | 2019-04-19 |
| 1275007569 | Kelli A Ciolek | Counselor | 3002 Grand Ave, Waukegan, IL 60085-2321 | 2019-01-20 |
| 1700356185 | Gloria Lara | Counselor | 3002 Grand Ave, Waukegan, IL 60085-2321 | 2018-11-28 |
| 1801370457 | Hernan D Canales | Registered Nurse | 3002 Grand Ave, Waukegan, IL 60085-2321 | 2018-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285285189 | Allison Rose Matuszewski | Speech-Language Pathologist | Robbie M. Lightfoot, 1721 N Mcaree Rd, Waukegan, IL 60085 | 2019-09-23 |
| 1164985602 | Kristin Kaprak | Speech-Language Pathologist | Thomas Jefferson Middle School, 600 S. Lewis, Waukegan, IL 60085 | 2019-04-11 |
| 1861972317 | Mitchum Smith | Student in an Organized Health Care Education/Training Program | 2025 Washington Street, Waukegan, IL 60085 | 2018-08-15 |
| 1447702998 | Rachel Martinez | Registered Nurse | 3002 Grand Ave., Waukegan, IL 60085 | 2016-11-01 |
| 1831649250 | Kenneth Caples | Specialist/Technologist | 211 S County St, Waukegan, IL 60085 | 2016-10-10 |
| 1033666490 | Catholic Charities of The Archdiocese of Chicago | Community/Behavioral Health | 671 S. Lewis Ave., Waukegan, IL 60085 | 2016-09-02 |
| 1285007757 | Michael Moore | Counselor | 1113 Greenwood Ave, Waukegan, IL 60085 | 2015-11-05 |
| 1740656503 | Emperatriz Guerra | Counselor | 329 N. Genesee Street, Waukegan, IL 60085 | 2015-08-17 |
| 1992189880 | County of Lake | Clinic/Center | 540 S. Mcalister Ave., Waukegan, IL 60085 | 2015-07-10 |
| 1922406354 | Ebele Okonkwor | Nurse Anesthetist, Certified Registered | 1324 N. Sheridan, Waukegan, IL 60085 | 2014-12-17 |
| Find all providers in zip 60085 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528679297 | Gina Marie Torre | Counselor | 2505 Washington St., Waukegan, IL 60085-6008 | 2020-08-14 |
| 1790383511 | Lorraine Eileen Waller | Counselor | 2025 Washington St, Waukegan, IL 60085-5131 | 2020-10-14 |
| 1013520873 | Steven C Poland | Counselor | 415 Washington St Ste 200, Waukegan, IL 60085-5564 | 2020-08-30 |
| 1477165090 | David Quintel Howery | Counselor | 3010 Grand Ave, Waukegan, IL 60085-2321 | 2020-08-17 |
| 1457962615 | Samantha Tomasello | Counselor | 671 S Lewis Ave, Waukegan, IL 60085-6101 | 2020-08-12 |
| 1346850575 | Andrea Leilani Kowitz | Counselor | 2410 Belvidere Rd, Waukegan, IL 60085-6165 | 2020-08-03 |
| 1962026971 | Jennifer Rae Flanagan | Counselor | 671 S Lewis Ave, Waukegan, IL 60085-6101 | 2020-06-04 |
| 1548892417 | Akilah Yates | Counselor | 2400 Belvidere Rd, Waukegan, IL 60085-6165 | 2020-02-10 |
| 1417587544 | Kaitlynn Elizabeth Martin | Counselor | 671 S Lewis Ave, Waukegan, IL 60085-6101 | 2020-01-16 |
| 1548807373 | Thomas Lamar Wise-bey | Counselor | 3002 Grand Ave, Waukegan, IL 60085-2321 | 2019-11-27 |
| Find all providers in WAUKEGAN | ||||
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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.