NICASA, NFP (NPI# 1548674666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548674666 |
| Entity Type | Organization |
| Organization Name | NICASA, NFP |
| Practice Address |
1632 23rd St Zion IL 60099-2345 |
| Mailing Address |
31979 N Fish Lake Rd Round Lake IL 60073-9517 |
| Practice Telephone | 8478722830 |
| Practice Fax Number | 8477317785 |
| Mailing Telephone | 8475466450 |
| Mailing Fax Number | 8475466760 |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2014-06-17 |
| Authorized Official Name | LINDA SNELTEN (CHIEF OPERATING OFICER) |
| Authorized Official Telephone | 8475466450 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | A-0614-0007-A | IL | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | C/A-0614-0007-A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194149542 | Nicasa, Nfp | Community/Behavioral Health | 1724 1st St, Highland Park, IL 60035-3202 | 2014-02-05 |
| 1841614294 | Nicasa, Nfp | Community/Behavioral Health | 2031 Dugdale Rd, North Chicago, IL 60064-1928 | 2014-02-05 |
| 1851715205 | Nicasa, Nfp | Community/Behavioral Health | 1113 W Greenwood Ave, Waukegan, IL 60087-4908 | 2014-02-05 |
| 1700336229 | Nicasa, Nfp | Clinic/Center | 1113 W Greenwood Ave, Waukegan, IL 60087-4908 | 2016-10-07 |
| 1962952499 | Nicasa, Nfp | Clinic/Center | 1724 1st St, Highland Park, IL 60035-3202 | 2016-10-07 |
| 1225588759 | Nicasa, Nfp | Clinic/Center | 2900 N Main St, Buffalo Grove, IL 60089-2717 | 2016-10-07 |
| 1982154407 | Nicasa, Nfp | Clinic/Center | 2031 Dugdale Rd, North Chicago, IL 60064-1928 | 2016-10-07 |
| 1902220353 | Nicasa, Nfp | Community/Behavioral Health | 2900 N Main St, Buffalo Grove, IL 60089-2717 | 2014-02-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NICASA, NFP | 31979 N Fish Lake Rd, Round Lake, IL 60073-9517 |
| Street Address |
1632 23RD ST |
| City | ZION |
| State | IL |
| Zip Code | 60099-2345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033674 | Ghazala Raheel | Pharmacist | 4000 Route # 173, Zion, IL 60099 | 2020-11-03 |
| 1295384790 | Loretta Beatrice Colwell | Technician | 3005 Elizabeth Ave, Zion, IL 60099 | 2019-09-06 |
| 1053893164 | Tea Mohn | Psychologist | 3901 W. 21st Street, Zion, IL 60099 | 2018-09-05 |
| 1326540808 | Monica Donald | Specialist/Technologist | 2825 Jethro Ct, Zion, IL 60099 | 2018-03-01 |
| 1265816516 | Igor Wroblewski | Internal Medicine | 2505 26th St, Zion, IL 60099 | 2015-07-16 |
| 1831432996 | Samuel Harrison Cannon Jr. | Nurse Anesthetist, Certified Registered | 3302 Wembley Dr, Zion, IL 60099 | 2013-03-27 |
| 1619213618 | Lizel Ann Granada | Nurse Practitioner | 2723 Sheridan Road, Suite C, Zion, IL 60099 | 2012-12-19 |
| 1194070540 | Shana Marie Pagtalunan Ramirez | Physical Therapist | 2404 Joppa Ave., Zion, IL 60099 | 2012-07-20 |
| 1962674978 | Zion Benton Children's Service | Dentist | 1608 W 23rd St, Zion, IL 60099 | 2008-03-31 |
| 1710176110 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 4580 Rt. 173, Zion, IL 60099 | 2007-10-22 |
| Find all providers in zip 60099 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730362815 | Northpointe Resources, Inc | Community/Behavioral Health | 3441 Sheridan Rd, Zion, IL 60099-3662 | 2007-12-11 |
| 1538380647 | County of Lake | Community/Behavioral Health | 2905 Willow Ln Apt C1, Zion, IL 60099-1462 | 2007-05-02 |
| 1073692315 | Community Resources for Education and Wellness, Inc | Community/Behavioral Health | 2800 Sheridan Rd, Zion, IL 60099 | 2006-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820648 | Community Wellness Group | Community/Behavioral Health | 635 Argyle Ave, Flossmoor, IL 60422-1201 | 2020-10-26 |
| 1437758711 | Gina Baldacci, Lcsw, LLC | Community/Behavioral Health | 231 Longridge Dr, Bloomingdale, IL 60108 | 2020-10-19 |
| 1790383610 | Joni Lamb Therapy, LLC | Community/Behavioral Health | 1555 Sherman Ave # 308, Evanston, IL 60201-4421 | 2020-10-13 |
| 1811594906 | Everyday Empowered Clinical Services, Ltd. | Community/Behavioral Health | 5117 Main St, Suite #7, Downers Grove, IL 60515 | 2020-10-02 |
| 1942817150 | Pacem Wellness, LLC | Community/Behavioral Health | 8 Eagle Ctr Ste 12, O Fallon, IL 62269-1947 | 2020-09-30 |
| 1831703271 | Boules Clinical Psychology Group | Community/Behavioral Health | 200 S Frontage Rd Ste 324, Burr Ridge, IL 60527-6953 | 2020-09-02 |
| 1336753896 | Counseling Kennedy Shenberg | Community/Behavioral Health | 5752 N Campbell Ave Apt 1, Chicago, IL 60659-5080 | 2020-09-02 |
| 1265045371 | Brightside Recovery | Community/Behavioral Health | 1667 Belvidere Rd, Belvidere, IL 61008-9306 | 2020-08-28 |
| 1902419021 | Brightside Recovery | Community/Behavioral Health | 8041 186th St Ste B, Tinley Park, IL 60487-9344 | 2020-08-28 |
| 1700498573 | Bobby E. Wright Comprehensive Behavioral Health Center, Inc. | Community/Behavioral Health | 5816 W Division St Fl 1, Chicago, IL 60651-1003 | 2020-08-21 |
| Find all providers with the same taxonomy | ||||
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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.