KAYTLIN DAE-JOYCE MOORE (NPI# 1487132221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487132221 |
| Entity Type | Individual |
| Full Name | KAYTLIN DAE-JOYCE MOORE |
| Credential | LPC |
| Practice Address |
5710 N Broadway St Chicago IL 60660-4302 |
| Practice Telephone | 8722350618 |
| Enumeration Date | 2018-08-03 |
| Last Update Date | 2018-08-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 178013620 | IL | Behavioral Health & Social Service Providers |
| Street Address |
5710 N BROADWAY ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60660-4302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184639866 | Izabella Sisarica | Counselor | 5710 N Broadway St, Chicago, IL 60660-4302 | 2006-07-30 |
| 1508429705 | Annette Iskra | Social Worker | 5710 N Broadway St, Chicago, IL 60660-4302 | 2019-04-15 |
| 1699253872 | Meghan Simonett | Counselor | 5710 N Broadway St, Chicago, IL 60660-4302 | 2018-07-31 |
| 1073090684 | Mindy Dardon | Counselor | 5710 N Broadway St, Chicago, IL 60660-4302 | 2018-07-26 |
| 1942791777 | Johana D Hernandez | Registered Nurse | 5710 N Broadway St, Chicago, IL 60660-4302 | 2018-05-29 |
| 1346770138 | Rebekah T Sachdeva | Counselor | 5710 N Broadway St, Chicago, IL 60660-4302 | 2017-06-14 |
| 1164963237 | Micah Shapiro | Social Worker | 5710 N Broadway St, Chicago, IL 60660-4302 | 2017-03-09 |
| 1972054294 | Justin Kozak | Counselor | 5710 N Broadway St, Chicago, IL 60660-4302 | 2016-10-21 |
| 1295106573 | Ruth Solomon Tupper | Registered Nurse | 5710 N Broadway St, Chicago, IL 60660-4302 | 2015-10-13 |
| 1578939252 | Dayna Reiko Phillips | Counselor | 5710 N Broadway St, Chicago, IL 60660-4302 | 2015-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225672280 | Alexis Shelton | Behavior Technician | 6317 N Broadway, Chicago, IL 60660 | 2019-11-03 |
| 1912470105 | Pipeline - Lakefront Medical Associates, LLC | Family Medicine | 6201 North Broadway, Chicago, IL 60660 | 2019-01-10 |
| 1417492224 | Aynur Fataliyeva | Non-emergency Medical Transport (VAN) | 5701 N Sheridan Road, Apt 20g, Chicago, IL 60660 | 2017-01-03 |
| 1285187591 | Bryan Moles | Developmental Therapist | 6157 N Kenmore, Apt #4s, Chicago, IL 60660 | 2016-08-03 |
| 1144609181 | Ebm Consulting LLC | Anesthesiology | 5600 N Sheridan Road, #115, Chicago, IL 60660 | 2015-05-22 |
| 1295134112 | Brent E Agran, Dds, LLC | Dentist | 5820 N. Clark St., 1s, Chicago, IL 60660 | 2014-08-15 |
| 1538573258 | Emily Eaton | Student in an Organized Health Care Education/Training Program | 5643 N. Magnolia Ave, Chicago, IL 60660 | 2014-06-20 |
| 1538572664 | Rozina Altaf Virani | Nurse Practitioner | 6033 N Sheridan Rd Ste N6, Chicago, IL 60660 | 2014-06-05 |
| 1548673866 | Emily Mckernan | Social Worker | 5710 N Broadway Ave, Chicago, IL 60660 | 2014-06-04 |
| 1679902324 | Christopher Burgess | Psychologist | 1554 W Hollywood, #storefront, Chicago, IL 60660 | 2013-11-04 |
| Find all providers in zip 60660 | ||||
| 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.