FOUNDATIONS COUNSELING AND ASSESSMENTS LLC (NPI# 1275182743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275182743 |
| Entity Type | Organization |
| Organization Name | FOUNDATIONS COUNSELING AND ASSESSMENTS LLC |
| Practice Address |
452 N Eola Rd Ste A Aurora IL 60502-9110 |
| Practice Telephone | 6309990401 |
| Mailing Telephone | 6309990401 |
| Enumeration Date | 2019-09-08 |
| Last Update Date | 2019-09-08 |
| Authorized Official Name | MR. EUGENE JIONGCO (GENERAL COUNSEL/DIR OF DEV) |
| Authorized Official Telephone | 3314727620 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| Street Address |
452 N EOLA RD STE A |
| City | AURORA |
| State | IL |
| Zip Code | 60502-9110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417225343 | Angela Zavala | Behavior Technician | 452 N Eola Rd Ste A, Aurora, IL 60502-9110 | 2011-12-06 |
| 1912523598 | Kimberly Erin Soderberg | Speech-Language Pathologist | 452 N Eola Rd Ste A, Aurora, IL 60502-9110 | 2020-06-19 |
| 1851942817 | Eugene Charles Jiongco | Behavioral Analyst | 452 N Eola Rd Ste A, Aurora, IL 60502-9110 | 2019-09-21 |
| 1679083935 | Michelle Mary Gizewski | Behavioral Analyst | 452 N Eola Rd Ste A, Aurora, IL 60502-9110 | 2017-10-01 |
| 1780102590 | Kaleena White | Behavior Technician | 452 N Eola Rd Ste A, Aurora, IL 60502-9110 | 2017-08-31 |
| 1679096440 | Kelsey Schuler | Behavioral Analyst | 452 N Eola Rd Ste A, Aurora, IL 60502-9110 | 2017-07-24 |
| 1578085304 | Victoria Vent | Behavior Technician | 452 N Eola Rd Ste A, Aurora, IL 60502-9110 | 2017-07-13 |
| 1568984599 | Christin Whitt | Behavioral Analyst | 452 N Eola Rd Ste A, Aurora, IL 60502-9110 | 2017-07-12 |
| 1205374360 | Karen Macella | Behavioral Analyst | 452 N Eola Rd Ste A, Aurora, IL 60502-9110 | 2017-02-08 |
| 1861935777 | Kelly Murray | Behavior Technician | 452 N Eola Rd Ste A, Aurora, IL 60502-9110 | 2016-11-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750816856 | Amanda Robinson | Behavior Technician | 452 Behavioral Perspective, Aurora, IL 60502 | 2017-04-26 |
| 1982141743 | Kathleen Werrline | Behavior Technician | 452 N Eola Rd A, Aurora, IL 60502 | 2017-01-31 |
| 1700276094 | Kati Jo Clish | Developmental Therapist | 3138 Whitney Road, Aurora, IL 60502 | 2015-01-26 |
| 1821430513 | Central Du Page Hospital Assn | Non-Pharmacy Dispensing Site | 2635 Church Rd, Aurora, IL 60502 | 2013-07-23 |
| 1417219437 | Krystle Cordova Gadrinab-jones | Family Medicine | 1222 N Eola Rd Ste D, Aurora, IL 60502 | 2012-06-14 |
| 1063794642 | Jimit Baxi | Pharmacist | 2986 Kirk Road, Aurora, IL 60502 | 2011-09-09 |
| 1154532315 | Dmj Home Health Services, Inc | Home Health | 2720 E. New York St., Suite 120, Aurora, IL 60502 | 2007-05-26 |
| 1336211770 | Gary Joseph Masterson | Optometrist | 405 North Eola Rd, Suite K, Aurora, IL 60502 | 2006-11-14 |
| 1760580708 | Deborah J Riddell | Advanced Practice Midwife | 2972 Indian Trail Road, Suite A, Aurora, IL 60502 | 2006-09-21 |
| 1811001779 | Dinesh J Patel Dds PC | Dentist | 405 N Eola Rd, #l, Aurora, IL 60502 | 2006-08-18 |
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| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275188427 | Ryan Holliday | Psychologist | 1700 Wheeling St # G-3116m, Aurora, CO 80045-7211 | 2019-08-05 |
| 1902397896 | Brooke Marie Ruxton | Psychologist | 2385 Stoughton Cir, Aurora, IL 60502-6478 | 2018-05-25 |
| 1033664750 | Alice Kratz Fairey | Psychologist | 15799 E Monmouth Pl, Aurora, CO 80015-1724 | 2016-08-23 |
| 1013245455 | Scott Thomas Alvord | Psychologist | 23765 3rd St Ne, Aurora, OR 97002-9606 | 2009-11-23 |
| 1033368410 | Allison Gail Dempsey | Psychologist | 13001 E 17th Pl Fl Olace2, Aurora, CO 80045-2570 | 2008-09-10 |
| 1245494111 | Cristina Lawrence Cullens | Psychologist | 21983 E Heritage Pkwy, Aurora, CO 80016-7241 | 2008-07-10 |
| 1174748941 | Dorianna Suhasini Shrader | Psychologist | 12792 E Villanova Drive, Aurora, CO 80014 | 2007-04-16 |
| 1649323445 | Carol A Marfut | Psychologist | 14304 E Evans Ave, Aurora, CO 80014-1408 | 2007-01-18 |
| 1295811834 | Don Jerome Wolff | Psychologist | 7415 S Catawba Way, Aurora, CO 80016-5213 | 2006-10-27 |
| 1487738423 | Mara Jean Kailin | Psychologist | 1646 Elmira St, Aurora, CO 80010-2122 | 2006-10-25 |
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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.