ASHLEY PATRICE FARGNOLI (NPI# 1285186247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285186247 |
| Entity Type | Individual |
| Full Name | ASHLEY PATRICE FARGNOLI |
| Credential | LCPC |
| Practice Address |
1542 W Devon Ave Chicago IL 60660-1344 |
| Practice Telephone | 7734654600 |
| Mailing Telephone | 7734654600 |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2018-04-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
180.010512 | IL | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3806 W Irving Park Rd, Chicago, IL 606183139 | 7738509046 |
| Street Address |
1542 W DEVON AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60660-1344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649223595 | Ghazala Fayyaz | Psychiatry & Neurology | 1542 W Devon Ave, Chicago, IL 60660-1344 | 2006-05-19 |
| 1124631874 | Shana S Patel | Registered Nurse | 1542 W Devon Ave, Chicago, IL 60660-1344 | 2020-08-24 |
| 1063035020 | Sungun Malhotra | Counselor | 1542 W Devon Ave, Chicago, IL 60660-1344 | 2020-05-26 |
| 1013558196 | Janet Marie Vidales | Social Worker | 1542 W Devon Ave, Chicago, IL 60660-1344 | 2019-09-30 |
| 1356860993 | Phillip Hallinger | Counselor | 1542 W Devon Ave, Chicago, IL 60660-1344 | 2017-09-14 |
| 1952704538 | Selma Kulasic | Pharmacist | 1542 W Devon Ave, Chicago, IL 60660-1344 | 2014-09-26 |
| 1356772834 | Hamdard Center for Health and Human Services, Nfp | Clinic/Center | 1542 W Devon Ave, Chicago, IL 60660-1344 | 2013-12-09 |
| 1891120101 | Diana Guzman | Registered Nurse | 1542 W Devon Ave, Chicago, IL 60660-1344 | 2013-09-05 |
| 1518307172 | Nazmeem Sultana | Registered Nurse | 1542 W Devon Ave, Chicago, IL 60660-1344 | 2013-06-27 |
| 1295057651 | Andreas Iskos | Pharmacist | 1542 W Devon Ave, Chicago, IL 60660-1344 | 2010-02-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225672280 | Alexis Shelton | Behavior Technician | 6317 N Broadway, Chicago, IL 60660 | 2019-11-03 |
| 1912470105 | Pipeline - Lakefront Medical Associates, LLC | Family Medicine | 6201 North Broadway, Chicago, IL 60660 | 2019-01-10 |
| 1417492224 | Aynur Fataliyeva | Non-emergency Medical Transport (VAN) | 5701 N Sheridan Road, Apt 20g, Chicago, IL 60660 | 2017-01-03 |
| 1285187591 | Bryan Moles | Developmental Therapist | 6157 N Kenmore, Apt #4s, Chicago, IL 60660 | 2016-08-03 |
| 1144609181 | Ebm Consulting LLC | Anesthesiology | 5600 N Sheridan Road, #115, Chicago, IL 60660 | 2015-05-22 |
| 1295134112 | Brent E Agran, Dds, LLC | Dentist | 5820 N. Clark St., 1s, Chicago, IL 60660 | 2014-08-15 |
| 1538573258 | Emily Eaton | Student in an Organized Health Care Education/Training Program | 5643 N. Magnolia Ave, Chicago, IL 60660 | 2014-06-20 |
| 1538572664 | Rozina Altaf Virani | Nurse Practitioner | 6033 N Sheridan Rd Ste N6, Chicago, IL 60660 | 2014-06-05 |
| 1548673866 | Emily Mckernan | Social Worker | 5710 N Broadway Ave, Chicago, IL 60660 | 2014-06-04 |
| 1679902324 | Christopher Burgess | Psychologist | 1554 W Hollywood, #storefront, Chicago, IL 60660 | 2013-11-04 |
| Find all providers in zip 60660 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780602 | Saba Aqel | Counselor | 107 W Van Buren St Ste 215, Chicago, IL 60605-1054 | 2020-11-05 |
| 1538768155 | Angelicare LLC | Counselor | 6650 N Northwest Hwy Ste 215, Chicago, IL 60631-1363 | 2020-10-23 |
| 1013516145 | Modern Soul Therapy LLC | Counselor | 2000 N Racine Ave Ste 2160, Chicago, IL 60614-4045 | 2020-10-20 |
| 1477151942 | Mansukh Sandhu | Counselor | 8765 W Higgins Rd Ste 450, Chicago, IL 60631-4172 | 2020-10-15 |
| 1881291920 | Freddy Reyes | Counselor | 931 W Leland Ave Apt 405, Chicago, IL 60640-6611 | 2020-10-01 |
| 1508463704 | Tynisha Jointer | Counselor | 7710 S Saint Lawrence Ave, Chicago, IL 60619-2925 | 2020-10-01 |
| 1851908206 | Manqual Chambers | Counselor | 2801 S King Dr, Chicago, IL 60616-2949 | 2020-09-29 |
| 1184231672 | Francesca Cottone | Counselor | 1616 N Nordica Ave, Chicago, IL 60707-4317 | 2020-09-28 |
| 1952916322 | Elle Skelton | Counselor | 2219 N Seeley Ave Apt 3f, Chicago, IL 60647-3363 | 2020-09-13 |
| 1437764305 | Donita M Lester | Counselor | 7022 S South Shore Dr Apt 214, Chicago, IL 60649-2229 | 2020-09-09 |
| Find all providers in CHICAGO | ||||
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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.