BREATHE (NPI# 1285036491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285036491 |
| Entity Type | Organization |
| Organization Name | BREATHE |
| Practice Address |
15255 S 94th Ave Orland Park IL 60462-3800 |
| Mailing Address |
329 W 102nd Pl Chicago IL 60628-1916 |
| Practice Telephone | 8474618718 |
| Practice Fax Number | 8474855605 |
| Mailing Telephone | 8474618718 |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2016-04-19 |
| Authorized Official Name | MS. WINIFRED BRADSHAW (DIRECTOR) |
| Authorized Official Telephone | 8474618718 |
| Authorized Official Credential | CRC/LCPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 180008522 | IL | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
180008522 | IL | Behavioral Health & Social Service Providers |
| N | 102L00000X | Psychoanalyst | 180008522 | IL | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| N | 251B00000X | Case Management | Agencies | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 305R00000X | Preferred Provider Organization | Managed Care Organizations | ||
| N | 273R00000X | Psychiatric Unit | Hospital Units | ||
| Y | 101YP2500X |
Counselor Specialization: Professional |
180.008522 | IL | Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Breathe | 10876 Deer Meadow Circle, Colorado Springs, CO 80925 |
| Oregon Corporations, Companies and Business Names | BREATHE | 2778 Sw 153rd Dr, Beaverton, OR 97003 |
| New York State Corporations | BREATHE & BLOOM WELLNESS COLLECTIVE LLC | 1967 Wehrle Drive, Suite 1-086, Buffalo, Ny 14221 |
| Colorado Business Entities | Breathe & Boldly Go, LLC | 1211 Avery Street, Suite 103, Golden, CO 80403 |
| Colorado Business Entities | Breathe & Repeat | 1630 30th Street, A314, Boulder, CO 80301 |
| Washington State Corporations | BREATHE 321, LLC | 821 34th Ave E, Seattle, WA 98112-4309 |
| System for Award Management (SAM) Entities | BREATHE AGAIN "THE SHEENA MARTIN FOUNDATION" INC | 447 S Prince St Mb 4, Lancaster, PA 17603-5657 |
| Colorado Business Entities | Breathe Again Bereavement Doula | 2456 Lexington Village Ln, Colorado Springs, CO 80916 |
| Connecticut Business Registrations | BREATHE AGAIN LLC | 955 Connecticut Avenue, Bridgeport, CT 06607 |
| Oregon Corporations, Companies and Business Names | BREATHE AGAIN RESPIRATORY-NUTRITION | 520 Se Paropa Pl, Gresham, OR 97080 |
| Street Address |
15255 S 94TH AVE |
| City | ORLAND PARK |
| State | IL |
| Zip Code | 60462-3800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922131622 | Victoria Reid | Psychologist | 15255 S 94th Ave, Ste 500, Orland Park, IL 60462-3895 | 2007-03-13 |
| 1982068318 | Pathways Therapeutic Services Inc. | In Home Supportive Care | 15255 S 94th Ave, Suite 500, Orland Park, IL 60462-3800 | 2016-04-12 |
| 1821494477 | Pathways Therapeutic Services Inc. | Behavioral Analyst | 15255 S 94th Ave, Suite 500, Orland Park, IL 60462-3800 | 2014-11-10 |
| 1891065561 | Victoria Reid Phd Ltd | Psychologist | 15255 S 94th Ave, Orland Park, IL 60462-3800 | 2012-01-11 |
| 1528382454 | Bridget Borrelli | Behavioral Analyst | 15255 S 94th Ave, Suite 500, Orland Park, IL 60462-3800 | 2010-03-22 |
| 1104052265 | Kimberly S Devos | Counselor | 15255 S 94th Ave, Suite 500, Orland Park, IL 60462-3800 | 2009-06-03 |
| 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 | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689147993 | Karen T Butler-cook | Counselor | 9031 W 151st St Ste 102, Orland Park, IL 60462-6562 | 2019-01-09 |
| 1699261263 | Daniel B Santangelo | Counselor | 11512 183rd Pl Ste Ne, Orland Park, IL 60467-9499 | 2018-07-07 |
| 1821588310 | Marko Sipka | Counselor | 9641 W 153rd St Ste 48, Orland Park, IL 60462-3777 | 2018-05-10 |
| 1548654635 | Kasia Budyn | Counselor | 15127 S 73rd Ave Ste C, Orland Park, IL 60462-3463 | 2015-03-26 |
| 1184041840 | Dana Hall | Counselor | 11309 Distinctive Dr # 11309, Orland Park, IL 60467-9490 | 2014-03-19 |
| 1992145742 | Mona M Mason | Counselor | 14475 John Humphrey Drive, Suite C, Orland Park, IL 60462 | 2013-06-26 |
| 1366729584 | Nancy L Bonnevier | Counselor | 9153 Fairmont Ct, Orland Park, IL 60462-6524 | 2011-11-16 |
| 1265735120 | Kenneth Louis Dalla Costa | Counselor | 15363 Tulip Ct, Orland Park, IL 60462-5024 | 2010-12-15 |
| 1033424346 | Marie Suzanne Doctor | Counselor | 15127 S. 73rd Ave, Suite G, Orland Park, IL 60462-4398 | 2010-08-11 |
| 1720315955 | Terri Eakins | Counselor | 15641 114th Ave, Orland Park, IL 60467-4476 | 2009-11-09 |
| Find all providers in ORLAND PARK | ||||
| City | ORLAND PARK |
| Zip Code | 60462 |
Please comment or provide details below to improve the information on BREATHE.
| 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.