LEAH HOLSTEN (NPI# 1538650403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538650403 |
| Entity Type | Individual |
| Full Name | LEAH HOLSTEN |
| Practice Address |
4407 Nunda Ave Crystal Lake IL 60014-2538 |
| Practice Telephone | 8156703688 |
| Mailing Telephone | 8156703688 |
| Enumeration Date | 2018-05-25 |
| Last Update Date | 2018-06-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | DEVELOPMENTAL THERAPIST | H42353692795 | 01 |
| Street Address |
4407 NUNDA AVE |
| City | CRYSTAL LAKE |
| State | IL |
| Zip Code | 60014-2538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497394720 | Lorelei Mariano | Physical Therapist | 350 E Congress Parkway Ste A, Crystal Lake, IL 60014 | 2020-01-03 |
| 1396227070 | Behavioral Services for Autism, Inc | Behavioral Analyst | 1095 Pingree Road, Suite 204, Crystal Lake, IL 60014 | 2018-08-30 |
| 1831635564 | Isis Mendoza-garnica | Counselor | 6803 Rose Ave, Crystal Lake, IL 60014 | 2017-01-19 |
| 1134664402 | Derick Dermatology, LLC | Non-Pharmacy Dispensing Site | 525 E Congress Parkway, Suite 200, Crystal Lake, IL 60014 | 2016-12-22 |
| 1306394051 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 177 W Virginia Street, Crystal Lake, IL 60014 | 2016-09-12 |
| 1124492830 | Align Spine & Orthopaedics | Durable Medical Equipment & Medical Supplies | 60 B West Terra Cotta Ave, #265, Crystal Lake, IL 60014 | 2015-11-18 |
| 1558747428 | Shabana Nawaz | Optometrist | 4777 Northwest Highway, Crystal Lake, IL 60014 | 2015-08-03 |
| 1548649205 | Daniel Okon | Social Worker | 304 Charllote Ave, Crystal Lake, IL 60014 | 2015-05-27 |
| 1154729838 | Crystal Lake Center for Chronic Pain Sc | Nurse Practitioner | 1 South Northwest Highway, Crystal Lake, IL 60014 | 2014-12-12 |
| 1558763581 | Brooke Nicole Grandt | Occupational Therapist | 394 Heisler Ct, Crystal Lake, IL 60014 | 2014-09-22 |
| Find all providers in zip 60014 | ||||
| Taxonomy Code | 222Q00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Developmental Therapist |
| A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development. |
| Notes: Source: The Illinois Developmental Therapists Association [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275141475 | Rebecca Cole | Developmental Therapist | 5811 Wild Plum Rd, Crystal Lake, IL 60014-4642 | 2020-07-14 |
| 1447725007 | Steffanie Nicole Sawyer | Developmental Therapist | 252 Fenimore Rd, Crystal Lake, IL 60014-7348 | 2018-10-10 |
| 1558894717 | Tonya Haase | Developmental Therapist | 744 Concord Dr, Crystal Lake, IL 60014-1820 | 2017-04-05 |
| 1174973556 | Lori Wolfberg | Developmental Therapist | 6302 Hidden Oak Dr, Crystal Lake, IL 60012-1249 | 2016-06-16 |
| 1497981732 | Elayne Jarvis | Developmental Therapist | 1799 Kings Gate Lane, Crystal Lake, IL 60014 | 2009-06-01 |
| 1255505202 | Julie C Smiley | Developmental Therapist | 630 Kendallwood Ct, Crystal Lake, IL 60014-8450 | 2008-04-21 |
| 1831303825 | Jill L Shadel | Developmental Therapist | 3313 Shadowood Dr, Crystal Lake, IL 60012-1337 | 2007-05-09 |
| 1679031223 | Jennifer Joann Dienelt | Developmental Therapist | 1799 Kings Gate Ln, Crystal Lake, IL 60014-2906 | 2019-03-02 |
| 1134642796 | Emily Jeanne Winters | Developmental Therapist | 1799 Kings Gate Ln, Crystal Lake, IL 60014-2906 | 2017-07-25 |
| 1831540228 | Christine Hall | Developmental Therapist | 1799 Kings Gate Ln, Crystal Lake, IL 60014-2906 | 2016-06-27 |
| Find all providers in CRYSTAL LAKE | ||||
| City | CRYSTAL LAKE |
| Zip Code | 60014 |
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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.