URBAN HEALING LTD. (NPI# 1295994150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295994150 |
| Entity Type | Organization |
| Organization Name | URBAN HEALING LTD. |
| Practice Address |
100 N Walkup Ave Suite B Crystal Lake IL 60014-4383 |
| Practice Telephone | 8154440044 |
| Mailing Telephone | 8154440044 |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2008-06-05 |
| Authorized Official Name | ANGELA B DAMPIER (OWNER/PSYCHOTHERAPIST) |
| Authorized Official Telephone | 8154440044 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 149008717 | IL | Agencies |
| Street Address |
100 N WALKUP AVE SUITE B |
| City | CRYSTAL LAKE |
| State | IL |
| Zip Code | 60014-4383 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023095346 | Donald E Jones | Social Worker | 100 N Walkup Ave, Crystal Lake, IL 60014-4383 | 2005-12-28 |
| 1124034665 | Colleen J. Campbell | Social Worker | 100 N Walkup Ave, Suite B, Crystal Lake, IL 60014-4383 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497394720 | Lorelei Mariano | Physical Therapist | 350 E Congress Parkway Ste A, Crystal Lake, IL 60014 | 2020-01-03 |
| 1396227070 | Behavioral Services for Autism, Inc | Behavioral Analyst | 1095 Pingree Road, Suite 204, Crystal Lake, IL 60014 | 2018-08-30 |
| 1831635564 | Isis Mendoza-garnica | Counselor | 6803 Rose Ave, Crystal Lake, IL 60014 | 2017-01-19 |
| 1134664402 | Derick Dermatology, LLC | Non-Pharmacy Dispensing Site | 525 E Congress Parkway, Suite 200, Crystal Lake, IL 60014 | 2016-12-22 |
| 1306394051 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 177 W Virginia Street, Crystal Lake, IL 60014 | 2016-09-12 |
| 1124492830 | Align Spine & Orthopaedics | Durable Medical Equipment & Medical Supplies | 60 B West Terra Cotta Ave, #265, Crystal Lake, IL 60014 | 2015-11-18 |
| 1558747428 | Shabana Nawaz | Optometrist | 4777 Northwest Highway, Crystal Lake, IL 60014 | 2015-08-03 |
| 1548649205 | Daniel Okon | Social Worker | 304 Charllote Ave, Crystal Lake, IL 60014 | 2015-05-27 |
| 1154729838 | Crystal Lake Center for Chronic Pain Sc | Nurse Practitioner | 1 South Northwest Highway, Crystal Lake, IL 60014 | 2014-12-12 |
| 1558763581 | Brooke Nicole Grandt | Occupational Therapist | 394 Heisler Ct, Crystal Lake, IL 60014 | 2014-09-22 |
| Find all providers in zip 60014 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093102550 | Crystal Lake Wellness, LLC | Community/Behavioral Health | 610 Crystal Point Dr Ste 2, Crystal Lake, IL 60014-1400 | 2015-04-22 |
| 1386958411 | Insights Counseling Inc. | Community/Behavioral Health | 112 Virginia Rd, Crystal Lake, IL 60014-7904 | 2010-07-30 |
| 1811445679 | Claire L Brown Lcsw PC | Community/Behavioral Health | 350 E Congress Pkwy, Suite L, Crystal Lake, IL 60014-6284 | 2016-09-21 |
| 1467907170 | Kevin Khamvongsa | Community/Behavioral Health | 145 S Virginia St, Crystal Lake, IL 60014-7226 | 2016-08-23 |
| 1659723211 | Mathers Community Mental Health Center LLC | Community/Behavioral Health | 145 S Virginia St, Crystal Lake, IL 60014-7226 | 2016-07-07 |
| 1255729935 | Laura Strong LLC | Community/Behavioral Health | 8600 Us Highway 14, Ste 105, Crystal Lake, IL 60012-2706 | 2015-01-02 |
| 1700274750 | The Thresholds | Community/Behavioral Health | 620 Dakota St, Crystal Lake, IL 60012-3732 | 2014-12-29 |
| 1265863641 | Lightrise Family Christian Counseling | Community/Behavioral Health | 265 Exchange Dr, 101b, Crystal Lake, IL 60014-6230 | 2013-12-10 |
| 1841597739 | New Life Counseling Center, Inc | Community/Behavioral Health | 600 Dakota St, Suite B, Crystal Lake, IL 60012-3742 | 2011-02-11 |
| 1578868808 | Michael T. Burns, Psy.d Ltd | Community/Behavioral Health | 610 Crystal Point Dr Ste 3, Crystal Lake, IL 60014-1400 | 2011-01-18 |
| Find all providers in CRYSTAL LAKE | ||||
| City | CRYSTAL LAKE |
| Zip Code | 60014 |
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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.