TESSA R BEUKEMA


Address: 4256 N Ravenswood Ave Ste 310, Chicago, IL 60613-1114
Phone: 7738274791

TESSA R BEUKEMA (NPI# 1609214154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609214154
Entity Type Individual
Full Name TESSA R BEUKEMA
Credential LCPC
Practice Address 4256 N Ravenswood Ave Ste 310
Chicago
IL 60613-1114
Mailing Address 3051 N Milwaukee Ave Unit 2
Chicago
IL 60618-6612
Practice Telephone 7738274791
Mailing Telephone (773) 827-4791
Enumeration Date 2013-06-06
Last Update Date 2017-08-31
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101Y00000X Counselor 180010864 IL Behavioral Health & Social Service Providers
N 101YM0800X Counselor
Specialization: Mental Health
180010864 IL Behavioral Health & Social Service Providers
Y 101YP2500X Counselor
Specialization: Professional
180010864 IL Behavioral Health & Social Service Providers

Office Location

Street Address 4256 N RAVENSWOOD AVE STE 310
City CHICAGO
State IL
Zip Code 60613-1114

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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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Competitor

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City CHICAGO
Zip Code 60613

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Dataset Information

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.

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