WATERSHED WELLNESS LLC (NPI# 1316429814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316429814 |
| Entity Type | Organization |
| Organization Name | WATERSHED WELLNESS LLC |
| Practice Address |
73 W Monroe St Ste 229 Chicago IL 60603-4955 |
| Mailing Address |
550 W Surf St Apt 213 Chicago IL 60657-6087 |
| Practice Telephone | 8723071811 |
| Mailing Telephone | 8723071811 |
| Enumeration Date | 2018-08-30 |
| Last Update Date | 2018-08-30 |
| Authorized Official Name | DR. ASHTON MARIE LOFGREEN (CLINICAL PSYCHOLOGIST/OWNER) |
| Authorized Official Telephone | 8723071811 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
071009227 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194198614 | Watershed Wellness LLC | Acupuncturist | 703 Lilly Rd Ne, Ste 102, Olympia, WA 98506-5191 | 2015-11-05 |
| Street Address |
73 W MONROE ST STE 229 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60603-4955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538705793 | Andrew W Rintels | Counselor | C/o Madden, Jiganti, Moore & Sinars LLP, 190 South Lasalle Street, Suite 1700, Chicago, IL 60603 | 2019-11-22 |
| 1679037642 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 135 S Lasalle St, Chicago, IL 60603 | 2019-01-24 |
| 1609352517 | Dawn Marie Seich | Nurse Practitioner | 190 S Lasalle #2130, Chicago, IL 60603 | 2018-07-13 |
| 1962869396 | Claire Kacena | Chiropractor | 10 S. Lasalle, Ste 1110, Chicago, IL 60603 | 2016-01-15 |
| 1588043251 | Thresholds | Clinic/Center | 120 South Lasalle Street, Suite 1410, Chicago, IL 60603 | 2015-05-27 |
| 1508273863 | Dr. Jeffrey Jones D.c. Inc. | Chiropractor | 19 S. Lasalle St., Suite 503, Chicago, IL 60603 | 2014-07-18 |
| 1942614730 | Devan Mark Hite | Counselor | 8 S Michigan Ave Ste 618, Chicago, IL 60603 | 2014-06-19 |
| 1265846604 | Jeffrey Jones | Chiropractor | 19 S Lasalle St, 503, Chicago, IL 60603 | 2014-06-13 |
| 1225469208 | Amy Kelly | Marriage & Family Therapist | 67 E Madison St # 1421, Chicago, IL 60603 | 2013-12-02 |
| 1023443306 | Cynthia Renee Hodges | Registered Nurse | 125 S Clark 12 Th Floor, Chicago, IL 60603 | 2013-09-05 |
| Find all providers in zip 60603 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699166 | Jennifer Knuepfer, Psyd, Pllc | Psychologist | 4256 N Ravenswood Ave Ste 305, Chicago, IL 60613-1114 | 2020-11-03 |
| 1104426170 | Grace Giedgowd | Psychologist | 1640 W Division St Apt 205, Chicago, IL 60622-3939 | 2020-10-29 |
| 1184223364 | Caroline Elisabeth Fulton | Psychologist | 1739 N Elston Ave, Chicago, IL 60642-1544 | 2020-10-20 |
| 1881293108 | Haley Michelle Sims | Psychologist | 65 E Wacker Pl Ste 300, Chicago, IL 60601-7203 | 2020-10-19 |
| 1285231936 | Qianhui Zhang | Psychologist | 1225 W Morse Ave Apt 403, Chicago, IL 60626-5751 | 2020-10-06 |
| 1316544158 | Nancy Marie Picard | Psychologist | 4885 N Hermitage Ave, Chicago, IL 60640-4104 | 2020-10-05 |
| 1730792151 | Jenny Marie Wamsat | Psychologist | 1921 W Diversey Pkwy Apt 402, Chicago, IL 60614-9412 | 2020-08-25 |
| 1497365910 | Sara Sirota | Psychologist | 5443 N Broadway St # 2s, Chicago, IL 60640-1703 | 2020-08-10 |
| 1053920512 | Alyse Renae Bedell | Psychologist | 5841 S Maryland Ave Ste 300, Chicago, IL 60637-1443 | 2020-07-30 |
| 1699392688 | Hongying Chen | Psychologist | 720 W Sheridan Rd Apt 3s, Chicago, IL 60613-3252 | 2020-06-25 |
| 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.