INTEGRATIVE MENTAL HEALTH SERVICES LLC (NPI# 1275025314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275025314 |
Entity Type | Organization |
Organization Name | INTEGRATIVE MENTAL HEALTH SERVICES LLC |
Other Organization Name | INTEGRATIVE COUNSELING CENTER (ICC) |
Practice Address |
5250 Old Orchard Rd Ste 300 Skokie IL 60077-4462 |
Mailing Address |
6730 E Pershing Ave Scottsdale AZ 85254-3941 |
Practice Telephone | 7737068981 |
Mailing Telephone | 8021632764 |
Enumeration Date | 2018-06-05 |
Last Update Date | 2020-07-28 |
Authorized Official Name | DANIEL LEVI (PRESIDENT) |
Authorized Official Telephone | 7737068981 |
Authorized Official Credential | LCPC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
180.010511 | Behavioral Health & Social Service Providers |
Other Name | Type Code |
---|---|
Integrative Counseling Center (ICC) | Other Name - Individual/Organization |
The Integrative Counseling Center | Doing Business As Name - Organization |
Address | Telephone Number | Fax Number |
---|---|---|
11811 N Tatum Blvd Ste 3031, Phoenix, AZ 850281621 | 7737068981 |
Street Address |
5250 OLD ORCHARD RD STE 300 |
City | SKOKIE |
State | IL |
Zip Code | 60077-4462 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588694707 | Lisa Oldson | Internal Medicine | 5250 Old Orchard Rd Ste 300, Skokie, IL 60077-4462 | 2006-07-04 |
1922617778 | Serenity Foot and Ankle Specialists | Podiatrist | 5250 Old Orchard Rd Ste 300, Skokie, IL 60077-4462 | 2020-07-28 |
1245703206 | Amys Aba Therapy Services | Behavioral Analyst | 5250 Old Orchard Rd Ste 300, Skokie, IL 60077-4462 | 2019-01-02 |
1952896581 | Noragishomecare Agency,inc | In Home Supportive Care | 5250 Old Orchard Rd Ste 300, Skokie, IL 60077-4462 | 2018-06-26 |
1982199865 | Nonye Iwuh | Respiratory Therapist, Certified | 5250 Old Orchard Rd Ste 300, Skokie, IL 60077-4462 | 2018-06-24 |
1467946517 | Jennifer Denise Jackson | Nurse Practitioner | 5250 Old Orchard Rd Ste 300, Skokie, IL 60077-4462 | 2018-06-20 |
1285136994 | Julie Anne Leopold | Dietitian, Registered | 5250 Old Orchard Rd Ste 300, Skokie, IL 60077-4462 | 2018-03-08 |
1194225235 | Meghan Mulcahy | Registered Nurse | 5250 Old Orchard Rd Ste 300, Skokie, IL 60077-4462 | 2018-02-15 |
1740702414 | Lori Ann Turner | Registered Nurse | 5250 Old Orchard Rd Ste 300, Skokie, IL 60077-4462 | 2017-07-13 |
1831611029 | Wellchoice, Inc. | Clinic/Center | 5250 Old Orchard Rd Ste 300, Skokie, IL 60077-4462 | 2017-07-10 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740835347 | Tharani Theivakumar | Dentist | 5225 W. Touhy Ave, Skokie, IL 60077 | 2019-08-09 |
1780179838 | Total Renal Care Inc | Clinic/Center | 8950 Gross Point Rd Ste 300, Skokie, IL 60077 | 2018-06-29 |
1811481070 | Joseph Rubin | Counselor | 7929 Lincoln Ave Ste 202, Skokie, IL 60077 | 2018-06-20 |
1245721067 | Lipnick Orthopaedics S.c. | Orthopaedic Surgery | 4856 Oakton Street, Skokie, IL 60077 | 2018-05-29 |
1376034991 | Karen Bradley | Nurse Practitioner | 5143 Coyle Ave, Skokie, IL 60077 | 2018-05-21 |
1093217036 | Arnold Arellano | Pedorthist | 5202 Old Orchard Road, N100, Skokie, IL 60077 | 2018-03-06 |
1043722408 | Carolyn Mary Jarozewski I | Registered Nurse | 5250 N.old Orchard Road Suite 300, 5250 N.old Orchard Road Suite 300, Skokie, IL 60077 | 2017-10-25 |
1841718400 | Katie Kluga | Nurse Practitioner | 9977 Woods Drive Suite 300, Skokie, IL 60077 | 2017-09-05 |
1265950091 | Larry Asher Sidel | Counselor | 9530 Lamon Pl.apt 110, Skokie, IL 60077 | 2017-08-31 |
1578088639 | Eleni Toumplis | Pharmacist | 4955 Dempster St, Skokie, IL 60077 | 2017-08-10 |
Find all providers in zip 60077 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265045132 | Beyond Anxiety Counseling, LLC | Counselor | 8000 Kilpatrick Ave Unit 2a, Skokie, IL 60076-5504 | 2020-08-28 |
1992288039 | Energy Geneyus Inc | Counselor | 8500 Linder Ct, Skokie, IL 60077-2016 | 2018-09-14 |
1811481070 | Joseph Rubin | Counselor | 7929 Lincoln Ave Ste 202, Skokie, IL 60077 | 2018-06-20 |
1710406558 | John Hughes | Counselor | 9239 Gross Point Rd Ste 300, Skokie, IL 60077-1365 | 2017-09-13 |
1316483662 | Rebecca Israilevich | Counselor | 3745 Crain St, Skokie, IL 60076-2205 | 2017-01-10 |
1972050813 | Biana Mavasheva | Counselor | 8252 Keystone Ave, Skokie, IL 60076-2717 | 2016-09-08 |
1811259401 | Lara Veon | Counselor | 5225 Old Orchard Rd Ste 24b, Skokie, IL 60077-1027 | 2012-06-11 |
1063792281 | Joseph Rafael Castillo | Counselor | 8232 Niles Center Rd, Apt. 316, Skokie, IL 60077-5203 | 2011-08-18 |
1841430402 | Oksana Lexell | Counselor | 9150 N Crawford Ave, Suite 200, Skokie, IL 60076-1700 | 2009-02-23 |
1356558647 | Phylis C. Sugar | Counselor | 4440 Keeney St, Skokie, IL 60076-3255 | 2007-05-17 |
Find all providers in SKOKIE |
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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.