ABUNDANT LIFE COUNSELING AND WELLNESS GROUP (NPI# 1194385401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194385401 |
| Entity Type | Organization |
| Organization Name | ABUNDANT LIFE COUNSELING AND WELLNESS GROUP |
| Practice Address |
15255 S 94th Ave Ste 500 Orland Park IL 60462-3895 |
| Mailing Address |
23665 W Dupage Country Club Dr Plainfield IL 60586-9221 |
| Practice Telephone | 8152741293 |
| Mailing Telephone | 8152741293 |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2019-06-18 |
| Authorized Official Name | MS. KIMBERLY S DEVOS (PRESIDENT) |
| Authorized Official Telephone | 8152741283 |
| Authorized Official Credential | LCPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
15255 S 94TH AVE STE 500 |
| City | ORLAND PARK |
| State | IL |
| Zip Code | 60462-3895 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689173452 | Glory Hhc | Home Health | 15255 S 94th Ave Ste 500, Orland Park, IL 60462-3895 | 2018-02-07 |
| 1902411093 | Becoming Behavioral Health & Wellness Pllc | Nurse Practitioner | 15255 S 94th Ave Ste 500, Orland Park, IL 60462-3895 | 2020-09-15 |
| 1013539865 | Kendrick Brain Restoration | Community/Behavioral Health | 15255 S 94th Ave Ste 500, Orland Park, IL 60462-3895 | 2020-05-15 |
| 1952936981 | Coast 2 Coast Home Care Agency | In Home Supportive Care | 15255 S 94th Ave Ste 500, Orland Park, IL 60462-3895 | 2020-03-10 |
| 1023642444 | Kendrick Brain Restoration | Home Health | 15255 S 94th Ave Ste 500, Orland Park, IL 60462-3895 | 2020-02-25 |
| 1932761616 | Uneka Shervon Kendrick | Home Health | 15255 S 94th Ave Ste 500, Orland Park, IL 60462-3895 | 2019-07-03 |
| 1790340966 | Little Ventures Ltd | In Home Supportive Care | 15255 S 94th Ave Ste 500, Orland Park, IL 60462-3895 | 2019-05-03 |
| 1255815734 | Whatmed Sc | Family Medicine | 15255 S 94th Ave Ste 500, Orland Park, IL 60462-3895 | 2018-09-20 |
| 1881190387 | Gloria Baker | Home Health | 15255 S 94th Ave Ste 500, Orland Park, IL 60462-3895 | 2018-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083257331 | Stephanie Slager | Behavioral Analyst | 8430 W 135th St., Orland Park, IL 60462 | 2019-10-18 |
| 1730652587 | Nancy Lynch | Speech-Language Pathologist | 15100 S 94th Ave Orland School District 135, Orlond Park, IL 60462 | 2019-01-04 |
| 1932681327 | Alyssa Avant | Speech-Language Pathologist | 8851 W 151st St, Orland Park, IL 60462 | 2018-08-31 |
| 1922588110 | Pain Specialists of Greater Chicago S C | Pain Medicine | 15300 West Ave Ste C213, Orland Park, IL 60462 | 2018-08-16 |
| 1689168478 | S- R&r Counseling Inc. | Counselor | 9750 Crescent Park Cir Unit 306, Orland Park, IL 60462 | 2018-06-15 |
| 1104372952 | Amy Blanks | Nurse Anesthetist, Certified Registered | 13959 95th Avenue, Orland Park, IL 60462 | 2016-08-31 |
| 1740632454 | Anna S Wang | Optometrist | 14494 John Humphrey Dr, Orland Park, IL 60462 | 2016-07-06 |
| 1750739793 | Carolyn Sluis | Pharmacist | 9352 W 159th Street, Orland Park, IL 60462 | 2016-06-01 |
| 1164882262 | Caring Hands Group Home of Il, Inc. | Community/Behavioral Health | 14475 John Humphrey Dr., Orland Park, IL 60462 | 2016-03-02 |
| 1639539760 | Frazierworks Community Care, Inc. | In Home Supportive Care | 14475 John Humphrey Dr Suite 300, Orland Park, IL 60462 | 2016-03-02 |
| Find all providers in zip 60462 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780037580 | Existential Counselor Society | Community/Behavioral Health | 14145 John Humphrey Dr, Orland Park, IL 60462-2073 | 2016-07-16 |
| 1164882262 | Caring Hands Group Home of Il, Inc. | Community/Behavioral Health | 14475 John Humphrey Dr., Orland Park, IL 60462 | 2016-03-02 |
| 1013539865 | Kendrick Brain Restoration | Community/Behavioral Health | 15255 S 94th Ave Ste 500, Orland Park, IL 60462-3895 | 2020-05-15 |
| 1881147726 | Anxiety and Stress Center, P.C. | Community/Behavioral Health | 62 Orland Square Dr, Suite 101, Orland Park, IL 60462-6546 | 2016-07-27 |
| 1548653769 | Lisa M Nardi, PC | Community/Behavioral Health | 14475 John Humphrey Dr, Suite I, Orland Park, IL 60462-6205 | 2015-03-12 |
| 1558769091 | Caring Hands Cila of Illinois Inc | Community/Behavioral Health | 14475 John Humphrey Dr, Suite 130, Orland Park, IL 60462-6205 | 2014-12-16 |
| 1295140481 | Coping Together | Community/Behavioral Health | 15127 S 73rd Ave, Suite C, Orland Park, IL 60462-4398 | 2014-06-25 |
| 1205104213 | Clarion Conscience LLC | Community/Behavioral Health | 15010 S Ravinia Ave Ste 15, Orland Park, IL 60462-5353 | 2011-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820648 | Community Wellness Group | Community/Behavioral Health | 635 Argyle Ave, Flossmoor, IL 60422-1201 | 2020-10-26 |
| 1437758711 | Gina Baldacci, Lcsw, LLC | Community/Behavioral Health | 231 Longridge Dr, Bloomingdale, IL 60108 | 2020-10-19 |
| 1790383610 | Joni Lamb Therapy, LLC | Community/Behavioral Health | 1555 Sherman Ave # 308, Evanston, IL 60201-4421 | 2020-10-13 |
| 1811594906 | Everyday Empowered Clinical Services, Ltd. | Community/Behavioral Health | 5117 Main St, Suite #7, Downers Grove, IL 60515 | 2020-10-02 |
| 1942817150 | Pacem Wellness, LLC | Community/Behavioral Health | 8 Eagle Ctr Ste 12, O Fallon, IL 62269-1947 | 2020-09-30 |
| 1831703271 | Boules Clinical Psychology Group | Community/Behavioral Health | 200 S Frontage Rd Ste 324, Burr Ridge, IL 60527-6953 | 2020-09-02 |
| 1336753896 | Counseling Kennedy Shenberg | Community/Behavioral Health | 5752 N Campbell Ave Apt 1, Chicago, IL 60659-5080 | 2020-09-02 |
| 1265045371 | Brightside Recovery | Community/Behavioral Health | 1667 Belvidere Rd, Belvidere, IL 61008-9306 | 2020-08-28 |
| 1902419021 | Brightside Recovery | Community/Behavioral Health | 8041 186th St Ste B, Tinley Park, IL 60487-9344 | 2020-08-28 |
| 1700498573 | Bobby E. Wright Comprehensive Behavioral Health Center, Inc. | Community/Behavioral Health | 5816 W Division St Fl 1, Chicago, IL 60651-1003 | 2020-08-21 |
| Find all providers with the same taxonomy | ||||
| City | ORLAND PARK |
| Zip Code | 60462 |
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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.