ROUCHELLE MACON (NPI# 1326518523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326518523 |
| Entity Type | Individual |
| Full Name | ROUCHELLE MACON |
| Credential | LPC |
| Practice Address |
10343 S Western Ave Chicago IL 60643-2410 |
| Mailing Address |
2827 192nd St Lansing IL 60438-3717 |
| Practice Telephone | 7083298871 |
| Mailing Telephone | 7087174563 |
| Enumeration Date | 2018-11-29 |
| Last Update Date | 2018-11-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
178014282 | IL | Behavioral Health & Social Service Providers |
| Street Address |
10343 S WESTERN AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60643-2410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881683969 | James T Davenport | Psychologist | 10343 S Western Ave, The Psychology Center Inc, Chicago, IL 60643-2410 | 2005-10-20 |
| 1831799436 | Aaron Donald Chatman | Psychologist | 10343 S Western Ave, Chicago, IL 60643-2410 | 2020-11-01 |
| 1427668151 | Dominique Holmes | Registered Nurse | 10343 S Western Ave, Chicago, IL 60643-2410 | 2020-08-06 |
| 1417519265 | Tonye Denise Lattimore | Marriage & Family Therapist | 10343 S Western Ave, Chicago, IL 60643-2410 | 2019-07-02 |
| 1518445790 | Shirley Burton | Counselor | 10343 S Western Ave, Chicago, IL 60643-2410 | 2018-07-31 |
| 1295225613 | Latoya Johnson-foster | Counselor | 10343 S Western Ave, Chicago, IL 60643-2410 | 2018-05-10 |
| 1700258175 | Tonika Michelle Archer | Marriage & Family Therapist | 10343 S Western Ave, Chicago, IL 60643-2410 | 2015-10-26 |
| 1215233929 | Jessica Sectzer | Counselor | 10343 S Western Ave, Chicago, IL 60643-2410 | 2011-01-28 |
| 1447576426 | Jessica Garfield | Counselor | 10343 S Western Ave, Chicago, IL 60643-2410 | 2010-04-15 |
| 1730401621 | Joe Guse | Counselor | 10343 S Western Ave, Chicago, IL 60643-2410 | 2010-02-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154941698 | Breann Hampton | Behavior Technician | 1214 W 115th St, Chicago, IL 60643 | 2020-04-24 |
| 1366075566 | Sanctuary Counseling, LLC | Home Health | 12247 S Racine Ave, Calumet Park, IL 60643 | 2020-02-16 |
| 1467082883 | Juliana Frances Cunningham | Developmental Therapist | 10037 S Bell, Chicago, IL 60643 | 2020-01-24 |
| 1013578624 | Sct Counseling | Counselor | 11948 S Western Ave, Chicago, IL 60643 | 2019-06-25 |
| 1073087474 | For Eyes Optical Company of Pa | Optometrist | 9900 S Ridgleland Ave, Chicago Ridge, IL 60643 | 2019-01-18 |
| 1073096426 | Derek Peake | Physical Therapist | 9465 S. Western Road, Chicago, IL 60643 | 2018-09-12 |
| 1508356072 | Halo Medical Professionals Sc. | Chiropractor | 10650 S Western Ave, Chicago, IL 60643 | 2018-05-10 |
| 1811405699 | Kara Eileen Noland | Developmental Therapist | 9327 S Hamilton Ave, Chicago, IL 60643 | 2018-01-16 |
| 1588173546 | Kiah Nicole Bouie | Behavioral Analyst | 1461 W 113th Pl, Chicago, IL 60643 | 2017-09-21 |
| 1174042766 | Travis Wade Robertson | Physical Therapist | 10909-11 S Western Ave, Beverly, IL 60643 | 2017-09-14 |
| Find all providers in zip 60643 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477579 | Shantrell Patrice Sutton | Counselor | 5042 W Erie St, Chicago, IL 60644-1604 | 2020-11-05 |
| 1073114591 | Alternative Schools Network | Counselor | 1807 W Sunnyside Ave, Chicago, IL 60640-5898 | 2020-11-02 |
| 1992306518 | Gravity and Grace Psychotherapy, Pllc | Counselor | 1305 S Michigan Ave Apt 602, Chicago, IL 60605-3398 | 2020-11-02 |
| 1811597263 | April Wilburne | Counselor | 804 E 54th St Apt 3, Chicago, IL 60615-4972 | 2020-10-27 |
| 1043810393 | Pamela Kranyak | Counselor | 30 N Michigan Ave Ste 925, Chicago, IL 60602-3463 | 2020-10-27 |
| 1003413378 | Erika Aguirre | Counselor | 5040 S Keating Ave., Chicago, IL 60632-4919 | 2020-10-08 |
| 1497361661 | Michael V Biederman | Counselor | 4254 N Mozart St Apt 2s, Chicago, IL 60618-1784 | 2020-09-22 |
| 1013523984 | Antionette Fisher | Counselor | 5703 S Peoria St, Chicago, IL 60621-2262 | 2020-09-16 |
| 1114532561 | Nefesh Counseling, LLC | Counselor | 3320 W Foster Ave # 124, Chicago, IL 60625-4813 | 2020-09-12 |
| 1114531043 | Katherine E Evans | Counselor | 1528 W Jonquil Ter Unit 2c, Chicago, IL 60626-5932 | 2020-09-08 |
| 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.