TOLLY BASEMAN (NPI# 1336542406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336542406 |
Entity Type | Individual |
Full Name | TOLLY BASEMAN |
Credential | LCPC |
Practice Address |
2525 W Peterson Ave Chicago IL 60659-4108 |
Practice Telephone | 7737650618 |
Enumeration Date | 2014-10-03 |
Last Update Date | 2014-10-03 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | 180008761 | IL | Behavioral Health & Social Service Providers |
Street Address |
2525 W PETERSON AVE |
City | CHICAGO |
State | IL |
Zip Code | 60659-4108 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952325250 | Susan Kogan | Counselor | 2525 W Peterson Ave, Chicago, IL 60659-4108 | 2006-07-27 |
1093175762 | Elizabeth Heideman | Social Worker | 2525 W Peterson Ave, Chicago, IL 60659-4108 | 2016-02-24 |
1306243498 | Joanna Zakhem | Counselor | 2525 W Peterson Ave, Chicago, IL 60659-4108 | 2014-12-04 |
1154731651 | Erin Crowe | Community/Behavioral Health | 2525 W Peterson Ave, Chicago, IL 60659-4108 | 2014-05-06 |
1376841262 | Community Counseling Centers of Chicago | Community/Behavioral Health | 2525 W Peterson Ave, Chicago, IL 60659-4108 | 2011-03-02 |
1891928073 | Norman D Asher | Social Worker | 2525 W Peterson Ave, Chicago, IL 60659-4108 | 2009-09-03 |
1689838682 | Helen Sowards-emmerd | Social Worker | 2525 W Peterson Ave, Chicago, IL 60659-4108 | 2008-07-18 |
1407026073 | Yvette Susan Arnoux | Counselor | 2525 W Peterson Ave, Chicago, IL 60659-4108 | 2008-03-10 |
1285812925 | Jaime Esquivel | Counselor | 2525 W Peterson Ave, C4, Chicago, IL 60659-4108 | 2008-02-05 |
1750405809 | Community Counseling Centers of Chicago | Clinic/Center | 2525 W Peterson Ave, Chicago, IL 60659-4108 | 2007-03-16 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043811425 | Devon Homecare Physicians Inc. | Family Medicine | 2822 W. Granville Ave. Apt 1, Chicago, IL 60659 | 2020-11-03 |
1932724200 | Tatyana Menaker | Nurse Practitioner | 2958 West Devon Ave, Chicago, IL 60659 | 2020-06-12 |
1508410069 | Kara Lyn Anderson | Counselor | 2551 W. Peterson Ave, Chicago, IL 60659 | 2019-08-01 |
1568980019 | Saba Suleman | Counselor | 5815 N Spaulding Ave Apt 3a, Chicago, IL 60659 | 2017-09-05 |
1639695257 | Go Diagnostics Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 5862 N Lincoln Ave, Suite 4, Chicago, IL 60659 | 2017-08-15 |
1972039568 | Trilogy, Inc. | Community/Behavioral Health | 2551 W Peterson Ave, Chicago, IL 60659 | 2017-05-03 |
1689029050 | Soulu | Voluntary or Charitable | 3557 W Peterson Ave #122, Chicago, IL 60659 | 2016-05-04 |
1730540550 | Michael Wei-tsi Chien | Dentist | 3425 W Peterson Ave Ste 107, Chicago, IL 60659 | 2016-03-08 |
1497129688 | Acquaint Homecare LLC | Home Health | 3525 West Peterson Avenue, Unit 118, Chicago, IL 60659 | 2015-11-25 |
1083054621 | Rebecca Schnell | Speech-Language Pathologist | 6124 N Saint Louis Ave, Chicago, IL 60659 | 2013-06-27 |
Find all providers in zip 60659 |
Taxonomy Code | 101Y00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366058075 | Allyssa Rose Bertram | Counselor | 4055 W Peterson Ave Ste 202, Chicago, IL 60646-6183 | 2020-09-17 |
1952914707 | Tara Ufer | Counselor | 400 W Deming Pl Apt 9g, Chicago, IL 60614-1702 | 2020-08-30 |
1104439694 | Alisa Williams | Counselor | 409 E 62nd St, Chicago, IL 60637-6097 | 2020-08-25 |
1730791492 | Forward Intentions Therapy LLC | Counselor | 1309 N Ashland Ave, Chicago, IL 60622-8744 | 2020-08-23 |
1184232183 | Isaac William Samuelson | Counselor | 3058 W Cortland St Apt 2, Chicago, IL 60647-5075 | 2020-07-16 |
1346861242 | Hannah Conner | Counselor | 2756 N Pine Grove Ave Apt 705, Chicago, IL 60614-6167 | 2020-05-01 |
1881215804 | Pamela Ann Brazelton-sykes | Counselor | Pioneer Gardens Supportive Living, 3800 S King Dr, Chicago, IL 60653 | 2020-04-30 |
1619597259 | Charles Chevell Hurt | Counselor | 1606 W Wallen Ave Apt 1, Chicago, IL 60626-6592 | 2020-04-23 |
1851911580 | Jessica C Baran | Counselor | 5200 S Blackstone Ave Apt 401, Chicago, IL 60615-6011 | 2020-04-22 |
1659907350 | Lauren Graner | Counselor | 2845 N Sheridan Rd # 708, Chicago, IL 60657-7227 | 2020-03-14 |
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.