LUTHERAN SOCIAL SERVICES OF ILLINOIS (NPI# 1578942108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578942108 |
| Entity Type | Organization |
| Organization Name | LUTHERAN SOCIAL SERVICES OF ILLINOIS |
| Other Organization Name | PRISONER & FAMILY MINISTRY |
| Practice Address |
1798 Summit Ave Ste 104 East Saint Louis IL 62205-2800 |
| Mailing Address |
1001 E Touhy Ave Ste 170 Des Plaines IL 60018-5801 |
| Practice Telephone | 6186043459 |
| Practice Fax Number | 6188759695 |
| Mailing Telephone | 8476354600 |
| Mailing Fax Number | 8472973314 |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2015-05-28 |
| Authorized Official Name | GREERANN HAMBLET (BUSINESS MANAGER) |
| Authorized Official Telephone | 8473901422 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Prisoner & Family Ministry | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881206035 | Lutheran Social Services of Illinois | Psychologist | 45 Industrial Dr, Vienna, IL 62995-1674 | 2020-08-19 |
| 1710599956 | Lutheran Social Services of Illinois | Psychologist | 12940 Western Ave Ste 300, Blue Island, IL 60406-4154 | 2020-08-19 |
| 1235741745 | Lutheran Social Services of Illinois | Psychologist | 102 E Deyoung St, Marion, IL 62959-2724 | 2020-08-18 |
| 1922634021 | Lutheran Social Services of Illinois | Clinic/Center | 400 N Cherry St, Morrison, IL 61270-2605 | 2020-03-20 |
| 1477904555 | Lutheran Social Services of Illinois | Counselor | 16248 S Parker Rd, Homer Glen, IL 60491-9081 | 2016-06-29 |
| 1760857213 | Lutheran Social Services of Illinois | Counselor | 6201 S Sangamon St, Ste 101, Chicago, IL 60621-2005 | 2015-12-09 |
| 1104200237 | Lutheran Social Services of Illinois | Clinic/Center | 85 Hankes Ave, Aurora, IL 60505-1774 | 2015-07-18 |
| 1194104661 | Lutheran Social Services of Illinois | Counselor | 402 Kishwaukee St, Ste 101, Rockford, IL 61104-2041 | 2015-05-29 |
| 1356744056 | Lutheran Social Services of Illinois | In Home Supportive Care | 815 W 63rd St, 3rd Floor, Chicago, IL 60621-1917 | 2014-10-08 |
| 1013310705 | Lutheran Social Services of Illinois | In Home Supportive Care | 1111 S Alpine Rd, Suite 201, Rockford, IL 61108-3940 | 2014-10-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | LUTHERAN SOCIAL SERVICES OF ILLINOIS | 880 Lee St, Des Plaines, IL 60016 |
| Street Address |
1798 SUMMIT AVE STE 104 |
| City | EAST SAINT LOUIS |
| State | IL |
| Zip Code | 62205-2800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790156610 | Lessie Bates Davis Neighborhood House | Registered Nurse | 1200 North 13th Street, East Saint Louis, IL 62205 | 2015-10-19 |
| 1114047859 | Herschel Lee Garrett Jr. | Dentist | 4020 Caseyville Ave, East St Louis, IL 62205 | 2007-03-29 |
| 1376871103 | Toni M. Jackson | Massage Therapist | 4806 State St, Home Office, East Saint Louis, IL 62205-1355 | 2009-12-07 |
| 1811347362 | Destinee Hope Grove | Specialist/Technologist | 4901 State St, East Saint Louis, IL 62205-1356 | 2016-06-15 |
| 1053963470 | Stephanie Michelle Tate-patterson | Nurse Practitioner | 4901 State St, East Saint Louis, IL 62205-1356 | 2019-07-16 |
| 1710406962 | Christa R Dyson-spiller | Nurse Practitioner | 4901 State St, East Saint Louis, IL 62205-1356 | 2017-09-19 |
| 1558344986 | Gerard X Blaise | Dentist | 4601 State St, Ste 300, East Saint Louis, IL 62205-1359 | 2005-11-21 |
| 1013269737 | Illinois Express Home Care | In Home Supportive Care | 4601 State St, East Saint Louis, IL 62205-1359 | 2012-10-04 |
| 1427227891 | Comprehensive Mental Health Center of St. Clair County, Inc. | Community/Behavioral Health | 4601 State St, East Saint Louis, IL 62205-1359 | 2008-02-29 |
| 1801065289 | Comprehensive Mental Health Center of St. Clair County, Inc. | Community/Behavioral Health | 4601 State St, East Saint Louis, IL 62205-1359 | 2008-02-29 |
| Find all providers in zip 62205 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518237080 | Call for Help, Inc. | Clinic/Center | 9400 Lebanon Rd, East Saint Louis, IL 62203-2214 | 2011-12-30 |
| 1780853614 | Comprehensive Mental Health Center of St. Clair County, Inc. | Clinic/Center | 1500 Wilford Ave, East Saint Louis, IL 62207-2066 | 2008-02-25 |
| 1720094345 | Comprehensive Behavioral Health Center of St. Clair County, Inc. | Clinic/Center | 505 S 8th St, East Saint Louis, IL 62201-2919 | 2006-08-01 |
| 1942741269 | Call for Help, Inc. | Clinic/Center | 9400 Lebanon Rd, East Saint Louis, IL 62203-2214 | 2017-03-20 |
| 1437328812 | Comprehensive Mental Health Center of St. Clair County, Inc. | Clinic/Center | 4601 State St, East Saint Louis, IL 62205-1359 | 2008-02-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225639990 | Mindy Forman, Psyd, LLC | Clinic/Center | 1020 Milwaukee Ave Ste 110, Deerfield, IL 60015-3555 | 2020-11-07 |
| 1346840295 | Stopka Professional Counseling LLC | Clinic/Center | 13125 Steeplechase Dr, New Lenox, IL 60451-1320 | 2020-10-29 |
| 1346848785 | Wellness Hearted Therapy LLC | Clinic/Center | 2675 S Cedar Glen Dr, Arlington Heights, IL 60005-5303 | 2020-10-16 |
| 1457959256 | Association for Individual Development | Clinic/Center | 708 N Bridge St, Yorkville, IL 60560-1105 | 2020-10-14 |
| 1285231555 | Association for Individual Development | Clinic/Center | 236 W Crystal Lake Ave, Crystal Lake, IL 60014-5847 | 2020-10-08 |
| 1386241123 | Envision Unlimited | Clinic/Center | 1801 N Spaulding Ave, Chicago, IL 60647-4926 | 2020-10-05 |
| 1881291789 | Jessica Weisbach, LLC | Clinic/Center | 2257 N Kedzie Blvd Apt 3, Chicago, IL 60647-2561 | 2020-10-04 |
| 1619574803 | Envision Unlimited | Clinic/Center | 2124 W 82nd Pl, Chicago, IL 60620-5358 | 2020-10-01 |
| 1144827320 | Envision Unlimited | Clinic/Center | 4919 N Clark St, Chicago, IL 60640-3514 | 2020-10-01 |
| 1194322370 | Envision Unlimited | Clinic/Center | 4911 S Hoyne Ave, Chicago, IL 60609-4721 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
| City | EAST SAINT LOUIS |
| Zip Code | 62205 |
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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.