REBECCA J KOEPPEN (NPI# 1427417864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427417864 |
| Entity Type | Individual |
| Full Name | REBECCA J KOEPPEN |
| Credential | MA, LPC |
| Practice Address |
2656 W Montrose Ave Chicago IL 60618-1559 |
| Mailing Address |
245 W Main St Apt 108 Lake Zurich IL 60047-3114 |
| Practice Telephone | 8473124402 |
| Enumeration Date | 2016-02-13 |
| Last Update Date | 2016-02-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
178.010351 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508309212 | Rebecca Koeppen | Dietitian, Registered | 8400 Washington Ave., Racine, WI 53406 | 2016-11-29 |
| Street Address |
2656 W MONTROSE AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60618-1559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033162227 | David L. Lynn | Psychologist | 2656 W Montrose Ave, Suite 101, Chicago, IL 60618-1559 | 2006-05-18 |
| 1841646015 | Shayla Brianne Martinez | Counselor | 2656 W Montrose Ave, Chicago, IL 60618-1559 | 2016-05-06 |
| 1861846032 | Comprehensive Home Services Inc | In Home Supportive Care | 2656 W Montrose Ave, Suite 106, Chicago, IL 60618-1559 | 2016-04-14 |
| 1609232032 | Raquel Flores | Social Worker | 2656 W Montrose Ave, Chicago, IL 60618-1559 | 2016-01-14 |
| 1902216849 | James Boggess | Social Worker | 2656 W Montrose Ave, Chicago, IL 60618-1559 | 2014-04-30 |
| 1871912006 | Carla Fincher | Social Worker | 2656 W Montrose Ave, Chicago, IL 60618-1559 | 2014-04-15 |
| 1053740373 | Monique A. Smith | Social Worker | 2656 W Montrose Ave, Chicago, IL 60618-1559 | 2013-11-06 |
| 1336576826 | Kolleen Blume | Counselor | 2656 W Montrose Ave, Chicago, IL 60618-1559 | 2013-09-30 |
| 1790021327 | Catharine Devlin, Psyd, Sc | Psychologist | 2656 W Montrose Ave, Suite 104, Chicago, IL 60618-1559 | 2012-12-31 |
| 1154699783 | Louise Dimiceli-mitran | Counselor | 2656 W Montrose Ave, Chicago, IL 60618-1559 | 2011-12-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134741622 | Cvs Aoc Services, L.L.C. | Optometrist | 4051 North Lincoln, Store 8751, Chicago, IL 60618 | 2020-05-07 |
| 1699317404 | Joseph Thank Harmon | Registered Nurse | 5645 W Addison, Chicago, IL 60618 | 2019-10-14 |
| 1760952626 | Prep Performance Center, LLC | Clinic/Center | 4022 N Rockwell Street, Chicago, IL 60618 | 2018-12-04 |
| 1528540986 | Ruby Erdmann | Dietitian, Registered | 3126 N Kimball Ave. #3w, Chicago, IL 60618 | 2018-09-02 |
| 1962997064 | Living Roots Psychotherapy, LLC | Clinic/Center | 4310 N Spaulding Ave, Chicago, IL 60618 | 2018-06-30 |
| 1962920116 | Alif Muhammad | Counselor | 3819 W Cornelia Ave #2, Chicago, IL 60618 | 2017-09-07 |
| 1417471178 | Daniel Lee Mcmillan | Counselor | 3433 N. Ridgeway Ave, Apt G, Chicago, IL 60618 | 2017-08-03 |
| 1508380486 | Callie Weinberg | Social Worker | 2945 N Damen Ave, 1s, Chicago, IL 60618 | 2017-08-01 |
| 1275062697 | Melissa Ann Prest | Dietitian, Registered | 3258 W Warner Ave, Apt 2, Chicago, IL 60618 | 2017-06-08 |
| 1871951038 | Bionic Prosthetics and Orthotics Group LLC | Prosthetic/Orthotic Supplier | 4315 N. Lincoln Avenue, Chicago, IL 60618 | 2016-02-03 |
| Find all providers in zip 60618 | ||||
| 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.