DARIOUS WATSON (NPI# 1487137329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487137329 |
| Entity Type | Individual |
| Full Name | DARIOUS WATSON |
| Practice Address |
6918 Windsor Ave N/a Berwyn IL 60402 |
| Mailing Address |
6918 W Windsor Ave Berwyn IL 60402-3334 |
| Practice Telephone | 7087455277 |
| Mailing Telephone | 7087455277 |
| Mailing Fax Number | 7087954834 |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2018-09-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
6918 WINDSOR AVE N/A |
| City | BERWYN |
| State | IL |
| Zip Code | 60402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548369077 | Heather Marie Stewart | Social Worker | 6918 Windsor Ave, Berwyn, IL 60402 | 2006-09-21 |
| 1831612126 | Bridget Croff | Counselor | 6918 Windsor Ave, Berwyn, IL 60402 | 2017-07-19 |
| 1437583242 | Samantha Ashley Satterthwaite | Student in an Organized Health Care Education/Training Program | 6918 Windsor Ave, Berwyn, IL 60402-3334 | 2013-08-28 |
| 1659712925 | Megan Elizabeth Eyrich | Student in an Organized Health Care Education/Training Program | 6918 Windsor Ave, Berwyn, IL 60402-3334 | 2013-07-15 |
| 1891136107 | Amanda Rachel Raeburn | Student in an Organized Health Care Education/Training Program | 6918 Windsor Ave, Berwyn, IL 60402-3334 | 2013-07-15 |
| 1568803864 | Linda Rebecca Janota | Student in an Organized Health Care Education/Training Program | 6918 Windsor Ave, Berwyn, IL 60402-3334 | 2013-07-15 |
| 1467893768 | Theodora Elise Mcclain | Student in an Organized Health Care Education/Training Program | 6918 Windsor Ave, Berwyn, IL 60402-3334 | 2013-07-15 |
| 1619318912 | Rebecca Annette Ogle | Student in an Organized Health Care Education/Training Program | 6918 Windsor Ave, Berwyn, IL 60402-3334 | 2013-07-15 |
| 1487095790 | Nicole Ann Wujtowicz | Student in an Organized Health Care Education/Training Program | 6918 Windsor Ave, Berwyn, IL 60402-3334 | 2013-07-15 |
| 1831440080 | Angelica Maria Roman | Case Manager/Care Coordinator | 6918 Windsor Ave, Berwyn, IL 60402-3334 | 2012-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619586518 | Lisa K Anderson-shaw | Clinical Ethicist | Macneal Trinity Medical Cetner, 3249 Oak Park Avenue, Berwyn, IL 60402 | 2020-07-27 |
| 1922622380 | Ayesha Ikram | Internal Medicine | Macneal Hospital 3249 S. Oak Park Ave, Brewyn, IL 60402 | 2020-06-02 |
| 1598329146 | Eleanor Teoh | Student in an Organized Health Care Education/Training Program | Family Medicine, Macneal Family Medicine Center, 3231 Eucild Ave, 5th Floor, Berwyn, IL 60402 | 2019-04-30 |
| 1376013920 | Virginia Mireles | Behavior Technician | 2317 S. Home, Berwyn, IL 60402 | 2018-11-27 |
| 1245709047 | Saraswati Koirala | Dentist | 1227 S Harlem Ave Apt414, Berwyn, IL 60402 | 2018-11-21 |
| 1295204220 | Dental Town Ltd | Dentist | 7106 W Cermak Rd, Berwyn, IL 60402 | 2018-11-20 |
| 1396231684 | Toya M Gildart | Counselor | Pillars, 6415 Stanley Avenue, Berwyn, IL 60402 | 2018-07-10 |
| 1437655685 | Ana Luisa Desantiago | Social Worker | 3245 Grove Ave Ste 201, Berwyn, IL 60402 | 2018-04-04 |
| 1821520198 | Chetan Velagapudi | Student in an Organized Health Care Education/Training Program | 3231 S Euclid Avenue, Suite 203, Berwyn, IL 60402 | 2017-03-28 |
| 1174976567 | Sydney Talavera | Counselor | 6415 Stanley Ave., Berwyn, IL 60402 | 2016-07-20 |
| Find all providers in zip 60402 | ||||
| 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 |
|---|---|---|---|---|
| 1598218166 | Daisy Rios | Counselor | 3635 Grove Ave, Berwyn, IL 60402-3868 | 2016-07-29 |
| 1861885907 | Charles Sanders | Counselor | 3424 Grove Ave, Berwyn, IL 60402-3636 | 2015-03-13 |
| 1326364886 | Anne E Leto | Counselor | 1412 Highland Ave, Berwyn, IL 60402-1129 | 2010-04-08 |
| 1588283329 | Joanna Pelayo | Counselor | 6918 W Windsor Ave, Berwyn, IL 60402-3334 | 2020-04-12 |
| 1790325157 | Yanitza Cassandra Carmona Y Correa | Counselor | 6918 W Windsor Ave, Berwyn, IL 60402-3334 | 2020-01-13 |
| 1508402314 | Stephanie Molina | Counselor | 6918 W Windsor Ave, Berwyn, IL 60402-3334 | 2019-11-27 |
| 1760030613 | Breanna Lynn Baker | Counselor | 6918 W Windsor Ave, Berwyn, IL 60402-3334 | 2019-09-03 |
| 1366090201 | Amanda Jean Slater | Counselor | 6918 W Windsor Ave, Berwyn, IL 60402-3334 | 2019-09-03 |
| 1770130478 | Benjamin David Cowell | Counselor | 6918 W Windsor Ave, Berwyn, IL 60402-3334 | 2019-08-19 |
| 1427616341 | Going Beyond Counseling Services | Counselor | 3339 Highland Ave, Berwyn, IL 60402-3817 | 2019-06-05 |
| Find all providers in BERWYN | ||||
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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.