CATHOLIC CHARITIES OF THE ARCHDIOCESE OF CHICAGO


Address: 671 S Lewis Ave, Waukegan, IL 60085-6101
Phone: 8477824154

CATHOLIC CHARITIES OF THE ARCHDIOCESE OF CHICAGO (NPI# 1295154813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295154813
Entity Type Organization
Organization Name CATHOLIC CHARITIES OF THE ARCHDIOCESE OF CHICAGO
Other Organization Name LAKE COUNTY BEHAVIORAL HEALTH SERVICES
Practice Address 671 S Lewis Ave
Waukegan
IL 60085-6101
Practice Telephone 8477824154
Practice Fax Number 8477821030
Mailing Telephone 8477824154
Mailing Fax Number 8477821030
Enumeration Date 2014-04-10
Last Update Date 2018-04-04
Authorized Official Name MICHAEL M BOLAND (ADMINISTRATOR, PRESIDENT AND CEO)
Authorized Official Telephone 3126557320
Authorized Official Credential MSW
Is Organization Subpart Y
Parent Organization Name CATHOLIC CHARITIES OF THE ARCHDIOCESE OF CHICAGO

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers
N 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers
N 343900000X Non-emergency Medical Transport (VAN) Transportation Services
N 101YP2500X Counselor
Specialization: Professional
Behavioral Health & Social Service Providers
N 251B00000X Case Management Agencies
N 251E00000X Home Health Agencies
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
04019 IL Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
IL 04019 05

Other Provider/Organization Names

Other Name Type Code
Lake County Behavioral Health Services Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1922643055 Catholic Charities of The Archdiocese of Chicago Clinic/Center 3019 W Harrison St, Chicago, IL 60612-3342 2019-11-13
1033666490 Catholic Charities of The Archdiocese of Chicago Community/Behavioral Health 671 S. Lewis Ave., Waukegan, IL 60085 2016-09-02
1881081263 Catholic Charities of The Archdiocese of Chicago Community/Behavioral Health 1400 S Austin Blvd, Cicero, IL 60804-1003 2015-04-23
1003217506 Catholic Charities of The Archdiocese of Chicago Case Management 1800 N Hermitage Ave, Chicago, IL 60622-1161 2014-09-16
1215282926 Catholic Charities of The Archdiocese of Chicago Case Management 721 N Lasalle St, 5th Floor, Chicago, IL 60610 2012-07-18
1245564640 Catholic Charities of The Archdiocese of Chicago Community/Behavioral Health 641 W Lake St, Chicago, IL 60661-1007 2009-10-01
1881928398 Catholic Charities of The Archdiocese of Chicago Community/Behavioral Health 11255 S Michigan Ave, Chicago, IL 60628-4909 2009-09-30
1295854446 Catholic Charities of The Archdiocese of Chicago Clinic/Center 721 N La Salle Dr, Chicago, IL 60654-3751 2007-03-28
1407971211 Catholic Charities of The Archdiocese of Chicago Community/Behavioral Health 1100 S May St, Fl 2, Chicago, IL 60607-4229 2007-03-20
1629130083 Catholic Charities of The Archdiocese of Chicago Case Management 116 Lincoln Ave, Round Lake, IL 60073-5009 2006-12-14

Office Location

Street Address 671 S LEWIS AVE
City WAUKEGAN
State IL
Zip Code 60085-6101

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669071833 Erica Slattery Counselor 671 S Lewis Ave, Waukegan, IL 60085-6101 2020-10-20
1073124269 Erika Denny Social Worker 671 S Lewis Ave, Waukegan, IL 60085-6101 2020-08-12
1457962615 Samantha Tomasello Counselor 671 S Lewis Ave, Waukegan, IL 60085-6101 2020-08-12
1558972836 Dawid Tryba Social Worker 671 S Lewis Ave, Waukegan, IL 60085-6101 2020-08-11
1962026971 Jennifer Rae Flanagan Counselor 671 S Lewis Ave, Waukegan, IL 60085-6101 2020-06-04
1417587544 Kaitlynn Elizabeth Martin Counselor 671 S Lewis Ave, Waukegan, IL 60085-6101 2020-01-16
1336798636 Marilyn Hernandez Counselor 671 S Lewis Ave, Waukegan, IL 60085-6101 2019-09-09
1528615366 Jackie Machamer Student in an Organized Health Care Education/Training Program 671 S Lewis Ave, Waukegan, IL 60085-6101 2019-08-26
1245883727 Janeth Brindis Social Worker 671 S Lewis Ave, Waukegan, IL 60085-6101 2019-07-23
1174176663 Chakeysha Jasmine Mckinney-lyons Counselor 671 S Lewis Ave, Waukegan, IL 60085-6101 2019-07-23
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285285189 Allison Rose Matuszewski Speech-Language Pathologist Robbie M. Lightfoot, 1721 N Mcaree Rd, Waukegan, IL 60085 2019-09-23
1164985602 Kristin Kaprak Speech-Language Pathologist Thomas Jefferson Middle School, 600 S. Lewis, Waukegan, IL 60085 2019-04-11
1861972317 Mitchum Smith Student in an Organized Health Care Education/Training Program 2025 Washington Street, Waukegan, IL 60085 2018-08-15
1447702998 Rachel Martinez Registered Nurse 3002 Grand Ave., Waukegan, IL 60085 2016-11-01
1831649250 Kenneth Caples Specialist/Technologist 211 S County St, Waukegan, IL 60085 2016-10-10
1033666490 Catholic Charities of The Archdiocese of Chicago Community/Behavioral Health 671 S. Lewis Ave., Waukegan, IL 60085 2016-09-02
1285007757 Michael Moore Counselor 1113 Greenwood Ave, Waukegan, IL 60085 2015-11-05
1740656503 Emperatriz Guerra Counselor 329 N. Genesee Street, Waukegan, IL 60085 2015-08-17
1992189880 County of Lake Clinic/Center 540 S. Mcalister Ave., Waukegan, IL 60085 2015-07-10
1922406354 Ebele Okonkwor Nurse Anesthetist, Certified Registered 1324 N. Sheridan, Waukegan, IL 60085 2014-12-17
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649806407 The Josselyn Center Nfp Clinic/Center 415 Washington St Ste 200, Waukegan, IL 60085-5564 2020-03-12
1588297980 Little City Foundation Clinic/Center 1301 S Lewis Ave, Waukegan, IL 60085-7814 2020-02-14
1811109184 County of Lake Clinic/Center 3002 Grand Ave, Waukegan, IL 60085-2321 2007-05-07
1700336229 Nicasa, Nfp Clinic/Center 1113 W Greenwood Ave, Waukegan, IL 60087-4908 2016-10-07
1164446712 County of Lake Clinic/Center 3010 Grand Ave, Waukegan, IL 60085-2321 2006-07-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1225639990 Mindy Forman, Psyd, LLC Clinic/Center 1020 Milwaukee Ave Ste 110, Deerfield, IL 60015-3555 2020-11-07
1346840295 Stopka Professional Counseling LLC Clinic/Center 13125 Steeplechase Dr, New Lenox, IL 60451-1320 2020-10-29
1346848785 Wellness Hearted Therapy LLC Clinic/Center 2675 S Cedar Glen Dr, Arlington Heights, IL 60005-5303 2020-10-16
1457959256 Association for Individual Development Clinic/Center 708 N Bridge St, Yorkville, IL 60560-1105 2020-10-14
1285231555 Association for Individual Development Clinic/Center 236 W Crystal Lake Ave, Crystal Lake, IL 60014-5847 2020-10-08
1386241123 Envision Unlimited Clinic/Center 1801 N Spaulding Ave, Chicago, IL 60647-4926 2020-10-05
1881291789 Jessica Weisbach, LLC Clinic/Center 2257 N Kedzie Blvd Apt 3, Chicago, IL 60647-2561 2020-10-04
1619574803 Envision Unlimited Clinic/Center 2124 W 82nd Pl, Chicago, IL 60620-5358 2020-10-01
1144827320 Envision Unlimited Clinic/Center 4919 N Clark St, Chicago, IL 60640-3514 2020-10-01
1194322370 Envision Unlimited Clinic/Center 4911 S Hoyne Ave, Chicago, IL 60609-4721 2020-10-01
Find all providers with the same taxonomy

Competitor

Search similar providers

City WAUKEGAN
Zip Code 60085

Improve Information

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Dataset Information

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.

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