KETT COUNSELING AND EDUCATIONAL SERVICES, LLC (NPI# 1417493495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417493495 |
Entity Type | Organization |
Organization Name | KETT COUNSELING AND EDUCATIONAL SERVICES, LLC |
Practice Address |
4300 Commerce Ct Ste 220 Lisle IL 60532-3709 |
Mailing Address |
Po Box 1464 Elmhurst IL 60126-8464 |
Practice Telephone | 3128009426 |
Enumeration Date | 2017-01-13 |
Last Update Date | 2017-01-13 |
Authorized Official Name | JEANNE KETT (OWNER) |
Authorized Official Telephone | 3128009426 |
Authorized Official Credential | LCPC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | 180001553 | IL | Agencies |
Street Address |
4300 COMMERCE CT STE 220 |
City | LISLE |
State | IL |
Zip Code | 60532-3709 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699752394 | David C Lott | Psychiatry & Neurology | 4300 Commerce Ct, Suite 250, Lisle, IL 60532-3709 | 2005-12-23 |
1801353107 | Anderson Clinical Services | Social Worker | 4300 Commerce Ct, Lisle, IL 60532-3709 | 2019-02-23 |
1063951028 | Eunia Lee, Lcpc & Associates, P.C. | Counselor | 4300 Commerce Ct, Suite 300-9, Lisle, IL 60532-3709 | 2017-02-22 |
1558808923 | Lott Behavioral Health, Ltd. | Clinic/Center | 4300 Commerce Ct, Suite 250, Lisle, IL 60532-3709 | 2017-01-24 |
1619328341 | Teresa Markum | Counselor | 4300 Commerce Ct, Suite 300, Lisle, IL 60532-3709 | 2016-06-23 |
1679812515 | Andrea Fisher | Counselor | 4300 Commerce Ct, Suite 300, Lisle, IL 60532-3698 | 2013-02-13 |
1215281175 | Dana Lowenthal | Counselor | 4300 Commerce Ct, Suite 300-19, Lisle, IL 60532-3698 | 2012-10-30 |
1235446949 | Anne Shragal | Counselor | 4300 Commerce Ct, Suite 300, Lisle, IL 60532-3698 | 2010-09-02 |
1346555935 | Karen Olvera | Social Worker | 4300 Commerce Ct, Suite 300-10, Lisle, IL 60532-3698 | 2010-08-08 |
1174777866 | Foundation Counseling and Training, Ltd. | Counselor | 4300 Commerce Ct, Suite 300-8, Lisle, IL 60532-3698 | 2008-11-08 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326675760 | Contemporary Wellness, LLC | Counselor | 4300 Commerce Court, Suite 300-9, Lisle, IL 60532 | 2020-03-25 |
1841825510 | Ih Lisle Opco, LLC | Skilled Nursing Facility | 2850 Ogden Avenue, Lisle, IL 60532 | 2020-03-03 |
1598305849 | Peter Sismour | Counselor | 4603 Main Street, Lisle, IL 60532 | 2020-01-14 |
1336634856 | Forward Emotion, LLC | Counselor | 3060 Ogden Ave Ste 102, Lisle, IL 60532 | 2018-06-27 |
1801397179 | David Rodemaker | Psychologist | 1500 Eisenhower Lane, Suite 300, Lisle, IL 60532 | 2018-02-22 |
1801325139 | Naperville Psychological Associates LLC | Psychologist | 6010 S Route 59, Suite B, Lisle, IL 60532 | 2017-06-09 |
1831649730 | Paige Diesner | Physician Assistant | 430 Warrenville Rd., Ste 300, Lisle, IL 60532 | 2016-10-04 |
1174978860 | Lisa Schaedler | Social Worker | 4774 Hill Trail Rd Apt 2c, Lisle, IL 60532 | 2016-04-29 |
1831578962 | Farah Budd | Occupational Therapist | 748 Riedy Rd, Lisle, IL 60532 | 2015-05-21 |
1649602822 | Marie Ann Markham Gonzalez | Developmental Therapist | 5629 Dover Dr, Lisle, IL 60532 | 2013-07-30 |
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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 |
---|---|---|---|---|
1144820648 | Community Wellness Group | Community/Behavioral Health | 635 Argyle Ave, Flossmoor, IL 60422-1201 | 2020-10-26 |
1437758711 | Gina Baldacci, Lcsw, LLC | Community/Behavioral Health | 231 Longridge Dr, Bloomingdale, IL 60108 | 2020-10-19 |
1790383610 | Joni Lamb Therapy, LLC | Community/Behavioral Health | 1555 Sherman Ave # 308, Evanston, IL 60201-4421 | 2020-10-13 |
1811594906 | Everyday Empowered Clinical Services, Ltd. | Community/Behavioral Health | 5117 Main St, Suite #7, Downers Grove, IL 60515 | 2020-10-02 |
1942817150 | Pacem Wellness, LLC | Community/Behavioral Health | 8 Eagle Ctr Ste 12, O Fallon, IL 62269-1947 | 2020-09-30 |
1831703271 | Boules Clinical Psychology Group | Community/Behavioral Health | 200 S Frontage Rd Ste 324, Burr Ridge, IL 60527-6953 | 2020-09-02 |
1336753896 | Counseling Kennedy Shenberg | Community/Behavioral Health | 5752 N Campbell Ave Apt 1, Chicago, IL 60659-5080 | 2020-09-02 |
1265045371 | Brightside Recovery | Community/Behavioral Health | 1667 Belvidere Rd, Belvidere, IL 61008-9306 | 2020-08-28 |
1902419021 | Brightside Recovery | Community/Behavioral Health | 8041 186th St Ste B, Tinley Park, IL 60487-9344 | 2020-08-28 |
1700498573 | Bobby E. Wright Comprehensive Behavioral Health Center, Inc. | Community/Behavioral Health | 5816 W Division St Fl 1, Chicago, IL 60651-1003 | 2020-08-21 |
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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.