YOUTH & FAMILY COUNSELING (NPI# 1487770798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487770798 |
| Entity Type | Organization |
| Organization Name | YOUTH & FAMILY COUNSELING |
| Other Organization Name | YOUTH & FAMILY COUNSELING |
| Practice Address |
1113 S Milwaukee Ave Suite 104 Libertyville IL 60048-3758 |
| Practice Telephone | 8473675991 |
| Practice Fax Number | 8473675997 |
| Mailing Telephone | 8473675991 |
| Mailing Fax Number | 8473675997 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-04-13 |
| Authorized Official Name | MRS. GINA TOBER (DIRECTOR OF CLINICAL SERVICES) |
| Authorized Official Telephone | 8477480385 |
| Authorized Official Credential | MA, LCPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Youth & Family Counseling | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | YOUTH & FAMILY COUNSELING | 1113 S Milwaukee Ave Ste 104, Libertyville, IL 60048-3759 |
| Street Address |
1113 S MILWAUKEE AVE SUITE 104 |
| City | LIBERTYVILLE |
| State | IL |
| Zip Code | 60048-3758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326077785 | James Hubert Shackelford | Counselor | 1113 S Milwaukee Ave, Ste 104, Libertyville, IL 60048-3758 | 2006-06-30 |
| 1255986857 | Lizzette Arcos | Student in an Organized Health Care Education/Training Program | 1113 S Milwaukee Ave, Libertyville, IL 60048-3758 | 2019-08-09 |
| 1215419320 | Lindsay Nicole Bishop | Student in an Organized Health Care Education/Training Program | 1113 S Milwaukee Ave, Libertyville, IL 60048-3758 | 2018-09-05 |
| 1235665274 | Carolyn Parker | Counselor | 1113 S Milwaukee Ave, Suite 104, Libertyville, IL 60048-3758 | 2017-05-11 |
| 1598206955 | Sheila M Ciesil | Counselor | 1113 S Milwaukee Ave, Ste 104, Libertyville, IL 60048-3758 | 2017-03-17 |
| 1619418019 | Jacqueline Margaret Johnsen | Massage Therapist | 1113 S Milwaukee Ave, Suite 201, Libertyville, IL 60048-3758 | 2017-03-17 |
| 1346785011 | Marianny Arribas | Counselor | 1113 S Milwaukee Ave, Ste 104, Libertyville, IL 60048-3758 | 2017-01-04 |
| 1053866483 | Bithynia Abarca | Counselor | 1113 S Milwaukee Ave, Suite 104, Libertyville, IL 60048-3758 | 2016-08-15 |
| 1366819526 | Colleen Kearney | Social Worker | 1113 S Milwaukee Ave, Suite 104, Libertyville, IL 60048 | 2015-08-24 |
| 1679989388 | Katherine Blum | Counselor | 1113 S Milwaukee Ave, 104, Libertyville, IL 60048-3758 | 2014-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184119950 | Park Avenue Dental Professionals, PC | Dentist | 1001 W. Park Avenue, Libertyville, IL 60048 | 2018-06-25 |
| 1437643525 | Shanna Coyle | Registered Nurse | 1128 Jaimee Ln, Libertyville, IL 60048 | 2018-06-21 |
| 1366943672 | Jackie Rayyan | Behavior Technician | 917 Sherwood Drive, Suite 201, Lake Bluff, IL 60048 | 2018-02-22 |
| 1851804850 | Mary E. Linsey | Counselor | 34180 Highway 45, Libertyville, IL 60048 | 2017-11-13 |
| 1962929018 | Affinity Integrated Healthcare | Chiropractor | 736 Florsheim Dr, St 12, Libertyville, IL 60048 | 2017-08-29 |
| 1164946471 | Christianna Patterson | Speech-Language Pathologist | 1870 W Winchester Rd #203, Libertyville, IL 60048 | 2017-07-28 |
| 1962938407 | Kyle Winiger | Specialist/Technologist | 4551 West Gavin Lane, Libertyville, IL 60048 | 2017-05-03 |
| 1396291530 | Karyn Kolner | Physical Therapist | 860 W Winchester Rd, #108, Libertyville, IL 60048 | 2016-08-28 |
| 1477900785 | Medlogic LLC | Clinic/Center | 114 West Rockland Road, Suite 201, Libertyville, IL 60048 | 2016-05-17 |
| 1477926343 | Robert Mcnulty | Student in an Organized Health Care Education/Training Program | 1313 Crane Blvd, Libertyville, IL 60048 | 2015-11-02 |
| Find all providers in zip 60048 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518216605 | Maria Rodriguez Gardner | Social Worker | 18698 W Peterson Rd, Libertyville, IL 60048-1052 | 2012-09-05 |
| 1760592232 | Gail M Weil | Social Worker | 117 E Cook Ave, Libertyville, IL 60048 | 2006-08-30 |
| 1366557225 | Matthew L Klestinski | Social Worker | 1117 S Milwaukee Avenue Forum Square Bldg B Ste 2, Libertyville, IL 60048 | 2006-08-20 |
| 1700431707 | Colleen Daly Nowlan | Social Worker | 1113 S Milwaukee Ave Ste 104, Libertyville, IL 60048-3759 | 2019-08-06 |
| 1164934113 | Karlee Williams | Social Worker | 1580 S Milwaukee Ave Ste 307, Libertyville, IL 60048-3773 | 2017-10-31 |
| 1538534540 | Kaitlin Lavris | Social Worker | 1248 American Way, Libertyville, IL 60048 | 2015-12-02 |
| 1760857726 | Lauren Kay Hess-metz | Social Worker | 150 E Cook Ave, Libertyville, IL 60048-2060 | 2015-12-02 |
| 1396178646 | Kyle Wade Parmelee | Social Worker | 1113 S Milwaukee Ave, Suite 104, Libertyville, IL 60048-3758 | 2013-08-09 |
| 1265742902 | Katie Elaine Schlichting | Social Worker | 1580 S Milwaukee Ave, Suite 300, Libertyville, IL 60048-3764 | 2010-10-15 |
| 1477638948 | Michael L Klestinski & Associates, P.C. | Social Worker | 1117 S Milwaukee Ave, Forum Square Building B Suite 2, Libertyville, IL 60048-3798 | 2006-10-25 |
| Find all providers in LIBERTYVILLE | ||||
| City | LIBERTYVILLE |
| Zip Code | 60048 |
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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.