MICHELLE DIAZ (NPI# 1255847422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255847422 |
| Entity Type | Individual |
| Full Name | MICHELLE DIAZ |
| Credential | MS, LPC, NCC |
| Practice Address |
4209 W Shamrock Ln Mchenry IL 60050-8700 |
| Mailing Address |
35w735 Crispin Dr Elgin IL 60123-6724 |
| Practice Telephone | 8153449443 |
| Practice Fax Number | 8153449445 |
| Mailing Telephone | 2248292535 |
| Enumeration Date | 2017-12-23 |
| Last Update Date | 2017-12-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
178.013346 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902447469 | Michelle Diaz | Counselor | 3309 N Oconto Ave, Chicago, IL 60634-3536 | 2019-10-04 |
| 1699287292 | Michelle N Diaz | Occupational Therapy Assistant | 4523 Robertson St, Houston, TX 77009-3439 | 2017-11-04 |
| 1699778621 | Michelle Diaz | Optometrist | 99 Us Route 1 Byp, Kittery, ME 03904 | 2005-05-23 |
| 1548883663 | Michelle Diaz | Case Manager/Care Coordinator | 1436 Goodrich Blvd, Commerce, CA 90022-5111 | 2020-05-22 |
| 1033773254 | Michelle Beth Diaz | Behavior Technician | 1855 2nd St Ste B, Concord, CA 94519-2623 | 2019-04-23 |
| 1003376310 | Michelle Ashley Diaz | Student in an Organized Health Care Education/Training Program | 111 E 210th St, Bronx, NY 10467-2401 | 2019-03-22 |
| 1225489917 | Michelle Diaz | Registered Nurse | 1800 Mercy Dr, Orlando, FL 32808-5646 | 2016-06-24 |
| 1003286220 | Michelle Diaz | Behavioral Analyst | 3520 Oaks Way, #904, Pompano Beach, FL 33069-5391 | 2015-09-30 |
| 1881097111 | Michelle Diaz | Social Worker | 9704 Sutphin Blvd, Jamaica, NY 11435 | 2014-10-01 |
| 1841601762 | Michelle Diaz | Behavioral Analyst | 11755 Sw 90th St, Ste 210, Miami, FL 33186-2177 | 2014-05-13 |
| Street Address |
4209 W SHAMROCK LN |
| City | MCHENRY |
| State | IL |
| Zip Code | 60050-8700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760749642 | Mchenry Dialysis Center LLC | Clinic/Center | 4209 W Shamrock Ln, Unit A, Mchenry, IL 60050-8700 | 2012-04-18 |
| 1043829369 | Charles Andrew Vorderer | Counselor | 4209 W Shamrock Ln, Mchenry, IL 60050-8700 | 2020-07-23 |
| 1134765647 | Kristin Busco-shipley | Counselor | 4209 W Shamrock Ln, Mchenry, IL 60050-8700 | 2019-11-19 |
| 1043869795 | Eugene Kenneth Kuck Jr. | Counselor | 4209 W Shamrock Ln, Mchenry, IL 60050-8700 | 2019-09-05 |
| 1609439306 | Cindy Apelbaum | Counselor | 4209 W Shamrock Ln, Mchenry, IL 60050-8700 | 2019-04-17 |
| 1417424193 | Xanthi Zafiris | Counselor | 4209 W Shamrock Ln, Mchenry, IL 60050-8700 | 2018-10-31 |
| 1881942647 | Centegra Health and Wellness Network | Exclusive Provider Organization | 4209 W Shamrock Ln, Suite B, Mchenry, IL 60050-8700 | 2012-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932728003 | Tco Jv, LLC | Skilled Nursing Facility | 550 Ridgeview Drive, Mchenry, IL 60050 | 2020-04-09 |
| 1992274971 | Lisa Luedtke | Counselor | 5342 West Elm Street, Mchenry, IL 60050 | 2018-11-19 |
| 1013402825 | Fox Ridge Medical Associates, LLC | Internal Medicine | 3633 Municipal Dr, Mchenry, IL 60050 | 2018-06-25 |
| 1700387065 | Richard Stacy Birmantas | Speech-Language Pathologist | 6515 West Route 120, Mchenry, IL 60050 | 2018-02-22 |
| 1659888774 | Kathleen Mather | Speech-Language Pathologist | 3502 Washington St, Mchenry, IL 60050 | 2018-01-10 |
| 1891205605 | Delorean Mckinney | Psychologist | 4031 Dayton Ave, Mchenry, IL 60050 | 2017-10-06 |
| 1851810741 | Diana Park | Pharmacist | 2253 N. Richmond Rd., Mchenry, IL 60050 | 2017-09-12 |
| 1063931921 | Lauren M Young | Counselor | 4031 W. Dayton Street, Mchenery, IL 60050 | 2017-09-12 |
| 1376086264 | Elizabeth Kathleen Zacher | Social Worker | 4100 W Dayton Street, Mchenry, IL 60050 | 2016-11-23 |
| 1700332491 | Jasmine Elias | Social Worker | 4031 Dayton St, Mchenry, IL 60050 | 2016-09-01 |
| Find all providers in zip 60050 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912471129 | Stephanie Lafontaine | Counselor | 4318 W Crystal Lake Road, Suite L, Mchenry, IL 60050-4250 | 2019-01-22 |
| 1376905265 | Lowell Kivley | Counselor | 501 N Dale Ave, Mchenry, IL 60050-5637 | 2016-03-22 |
| 1881038214 | Lindy Lange | Counselor | 4318 W Crystal Lake Rd Ste L, Mchenry, IL 60050-4250 | 2013-04-29 |
| 1508164617 | Sandra Terese Montalvo | Counselor | 3941 W Dayton St, Mchenry, IL 60050-8377 | 2011-03-14 |
| 1104078096 | Richard William Schupner | Counselor | 5419 Bull Valley Rd, Mchenry, IL 60050-7410 | 2008-10-22 |
| 1396913927 | Jeffrey R Weishaar | Counselor | 2012 Crooked Tree Ct, Mchenry, IL 60050-3993 | 2008-02-17 |
| 1316141799 | Cathy Smith-wenska | Counselor | 615 Hilltop Blvd, Mchenry, IL 60050-8392 | 2007-06-12 |
| 1366543167 | Kevin John Russell | Counselor | 5435 Bull Valley Rd Ste 106, Mchenry, IL 60050-2209 | 2006-09-26 |
| 1609483643 | Haley Kramer | Counselor | 5435 Bull Valley Rd Ste 230, Mchenry, IL 60050-7435 | 2020-09-24 |
| 1801408182 | Betty Villagomez | Counselor | 5404 W Elm St Ste H, Mchenry, IL 60050-4007 | 2020-08-19 |
| Find all providers in MCHENRY | ||||
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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.