MS. ELIZABETH ROSE MATTAX (NPI# 1386787026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386787026 |
| Entity Type | Individual |
| Full Name | MS. ELIZABETH ROSE MATTAX |
| Credential | LCPC |
| Practice Address |
540 Ferdinand Ave Forest Park IL 60130-1889 |
| Practice Telephone | 7087143200 |
| Mailing Telephone | 7087143200 |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
180002222 | IL | Behavioral Health & Social Service Providers |
| Street Address |
540 FERDINAND AVE |
| City | FOREST PARK |
| State | IL |
| Zip Code | 60130-1889 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740828227 | Amanda Ross | Social Worker | 1037 Desplaines Avenue, Unit 607, Forest Park, IL 60130 | 2019-12-16 |
| 1639733959 | Pop Pediatric Therapy Services, LLC | Occupational Therapy Assistant | Pop Pediatric Therapy, 7421 Madison Ave., Forest Park, IL 60130 | 2019-04-23 |
| 1194261776 | Emeryle D Ladd | Driver | 1117 S. Harlem, Unit 1, Forest Park, IL 60130 | 2017-01-06 |
| 1225381106 | Riveredge Hospital | Clinic/Center | 8311 W Roosevelt Road, Forest Park, IL 60130 | 2012-10-17 |
| 1033479712 | Debra L Jensen | Acupuncturist | 7314 W. Madison, Forest Park, IL 60130 | 2012-05-29 |
| 1710289327 | Platinum Dental Care | Health Maintenance Organization | 333 Circle Avenue, Forest Park, IL 60130 | 2010-12-02 |
| 1174857262 | Anwar Adams | Physical Therapy Assistant | 1029 Des Plaines Ave Apt 601, Forest Park, IL 60130 | 2009-09-23 |
| 1992939318 | Family Health Solutions,pc | Chiropractor | 315 Des Plaines Ave., Suite 307, Forest Park, IL 60130 | 2009-05-13 |
| 1235386681 | Arnold Clevs | Dentist | 334 Circle Ave, Forest Park, IL 60130 | 2008-08-27 |
| 1932376167 | Dianella V Dizon-menezes | Psychiatry & Neurology | 8311 W Roosevelt Rd, Advanced Psychiatric Services, Forest Park, IL 60130 | 2008-05-16 |
| Find all providers in zip 60130 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356821342 | Marianne Vranek | Counselor | Riveredge Hospital, 8311 W Rooselvelt Rd, Forest Park, IL 60130-2529 | 2018-08-19 |
| 1457868366 | Sidia Nayeli Diaz De Bernt I | Counselor | 1042 Troost Ave, Forest Park, IL 60130-2157 | 2018-01-02 |
| 1770037194 | Ab Counseling Services LLP | Counselor | 528 Forest Pkwy Ste A, Forest Park, GA 30297-6109 | 2016-08-15 |
| 1508874728 | Nona Rutter | Counselor | 7442 Madison St, #6, Forest Park, IL 60130-1581 | 2006-08-03 |
| 1225043698 | Patricia A Saenz | Counselor | 7530 Lexington St, Forest Park, IL 60130-2223 | 2006-07-31 |
| 1447880513 | Julia Jordan-lake | Counselor | 7421 Madison St, Forest Park, IL 60130-1575 | 2020-01-17 |
| 1376183293 | Jessica Huerta | Counselor | 8311 Roosevelt Rd, Forest Park, IL 60130-2529 | 2020-01-08 |
| 1396386686 | Kate Naudin | Counselor | 8311 Roosevelt Rd, Forest Park, IL 60130-2529 | 2019-10-08 |
| 1255899738 | Katina R Hall | Counselor | 1035 Main St, Forest Park, GA 30297-1441 | 2019-03-04 |
| 1386139202 | Monika Breidenbach | Counselor | 8311 Roosevelt Rd, Forest Park, IL 60130-2500 | 2018-06-22 |
| Find all providers in FOREST PARK | ||||
| City | FOREST PARK |
| Zip Code | 60130 |
Please comment or provide details below to improve the information on MS. ELIZABETH ROSE MATTAX.
| 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.