COUNSELING CENTER OF THE NORTH SHORE, INC. (NPI# 1205841954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205841954 |
| Entity Type | Organization |
| Organization Name | COUNSELING CENTER OF THE NORTH SHORE, INC. |
| Practice Address |
992 1/2 Green Bay Rd Winnetka IL 60093 |
| Mailing Address |
992 1/2 Green Bay Rd Winnetka IL 60093-1722 |
| Practice Telephone | 8474468060 |
| Practice Fax Number | 8474469768 |
| Mailing Telephone | 8474468060 |
| Mailing Fax Number | 8474469768 |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2018-05-22 |
| Authorized Official Name | DR. ROBERT M MARDIROSSIAN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8474468060 |
| Authorized Official Credential | PH.D., L.C.S.W. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
071.009790 | IL | Behavioral Health & Social Service Providers |
| Street Address |
992 1/2 GREEN BAY RD |
| City | WINNETKA |
| State | IL |
| Zip Code | 60093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548736812 | Allison Lentulus Stein | Social Worker | 992 1/2 Green Bay Rd, Winnetka, IL 60093-1722 | 2018-10-15 |
| 1780042788 | Matthew Adam Silver | Counselor | 992 1/2 Green Bay Rd, Winnetka, IL 60093-1722 | 2016-02-04 |
| 1568649184 | Janet Beth Goss | Counselor | 992 1/2 Green Bay Rd, Winnetka, IL 60093-1722 | 2008-01-25 |
| 1699850859 | Thomas Bass | Social Worker | 992 1/2 Green Bay Rd, Winnetka, IL 60093-1722 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740812346 | Rosa Machabanski | Counselor | Josselyn Center, 405 Central Ave, Northfield, IL 60093 | 2020-02-11 |
| 1972080273 | Solutions-north Shore | Clinic/Center | 550 W Frontage Road, Suite 2810, Northfield, IL 60093 | 2018-07-19 |
| 1639671001 | Ilyssa Emily Lasky | Counselor | 723 Elm St Ste 20, Winnetka, IL 60093 | 2018-03-01 |
| 1285140079 | Rebecca Price | Social Worker | 400 Central Ave Ste 202, Northfield, IL 60093 | 2017-12-17 |
| 1063801033 | Anthony J. Geroulis, Md., S.c | Otolaryngology | 330 West Frontage Rd, Northfield, IL 60093 | 2015-01-14 |
| 1417354093 | Ardeshir Raghian Dds PC | Dentist | 723 Elm Street, Suite 21, Winnetka, IL 60093 | 2014-11-26 |
| 1811261092 | Jordan Allen Anderson | Specialist/Technologist | 7 Happ Road, New Trier Township High School, Northfield, IL 60093 | 2012-03-06 |
| 1326317801 | Anita Lynn Schmidt | Social Worker | 466 Central Ave Ste 50, Northfield, IL 60093 | 2011-12-29 |
| 1992087027 | Sivan Hannah Schondorf | Speech-Language Pathologist | 465 Central Ave., 201, Northfield, IL 60093 | 2011-09-14 |
| 1831409317 | The Arnold Center for Integrated Wellness, P.C. | Psychologist | 456 W. Frontage Rd., Suite 32, Northfield, IL 60093 | 2010-10-18 |
| Find all providers in zip 60093 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649483744 | Carol Eileen Jansson | Psychologist | 199 Church Rd, Winnetka, IL 60093-3905 | 2007-05-07 |
| 1427184795 | K. Lara Beanblossom | Psychologist | 545 Lincoln Ave Ste 4, Winnetka, IL 60093-2349 | 2007-02-23 |
| 1558448761 | Sally Jane Hoit | Psychologist | 1050 Gage St, Winnetka, IL 60093-1742 | 2006-11-01 |
| 1275620775 | Linda Lou Millon | Psychologist | 460 Winnetka Ave Ste 9, Winnetka, IL 60093-4206 | 2006-10-06 |
| 1184719189 | Lail L. Herman | Psychologist | 1051 Cherry St, Winnetka, IL 60093-2112 | 2006-10-04 |
| 1710086269 | Consulting & Clinical Psychology | Psychologist | 458 Winnetka Ave, #204, Winnetka, IL 60093-4266 | 2006-09-21 |
| 1528163078 | Michele Oreilly Studl | Psychologist | 545 Lincoln Av, Winnetka, IL 60093 | 2006-09-13 |
| 1649383902 | David Charles Clark | Psychologist | 552 Lincoln Ave Ste 205, Winnetka, IL 60093-2353 | 2006-08-17 |
| 1982106647 | Michele O'reilly Studl LLC | Psychologist | 545 Lincoln Ave Ste 4, Winnetka, IL 60093-2349 | 2018-03-08 |
| 1407226855 | Rebecca Wynne Denosaquo-murray | Psychologist | 545 Lincoln Ave, Suite 15, Winnetka, IL 60093-2349 | 2015-09-28 |
| Find all providers in WINNETKA | ||||
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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.