MCHENRY COUNTY YOUTH SERVICE BUREAU (NPI# 1639123037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639123037 |
Entity Type | Organization |
Organization Name | MCHENRY COUNTY YOUTH SERVICE BUREAU |
Practice Address |
101 S Jefferson St Woodstock IL 60098-3437 |
Practice Telephone | 8153387360 |
Practice Fax Number | 8153375510 |
Mailing Telephone | 8153387360 |
Mailing Fax Number | 8153375510 |
Enumeration Date | 2006-05-20 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MS. SUSAN H KRAUSE (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 8153387360 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251K00000X | Public Health or Welfare | 06524009 | IL | Agencies |
Street Address |
101 S JEFFERSON ST |
City | WOODSTOCK |
State | IL |
Zip Code | 60098-3437 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023472032 | Aid | Community/Behavioral Health | 101 S Jefferson St, Woodstock, IL 60098-3437 | 2016-04-06 |
1932574837 | Angela Haurum | Counselor | 101 S Jefferson St, Woodstock, IL 60098-3437 | 2015-12-04 |
1235511775 | Leila Kakvand | Social Worker | 101 S Jefferson St, Woodstock, IL 60098-3437 | 2015-06-21 |
1033590823 | Trisha Fendt | Counselor | 101 S Jefferson St, Woodstock, IL 60098-3437 | 2015-06-17 |
1760861058 | Shawn Tracey | Social Worker | 101 S Jefferson St, Woodstock, IL 60098-3437 | 2015-05-20 |
1134506306 | Sarah Mathe | Social Worker | 101 S Jefferson St, Woodstock, IL 60098-3437 | 2015-04-27 |
1427435650 | Craig Harmer | Social Worker | 101 S Jefferson St, Woodstock, IL 60098-3437 | 2015-04-27 |
1275920894 | Meredith Stiles | Social Worker | 101 S Jefferson St, Woodstock, IL 60098-3437 | 2015-04-21 |
1225425994 | Jacob Payton | Social Worker | 101 S Jefferson St, Woodstock, IL 60098-3437 | 2015-04-21 |
1003203795 | Jessica Carol Nusbaum | Social Worker | 101 S Jefferson St, Woodstock, IL 60098-3437 | 2015-04-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083197453 | Abb Dental Group LLC | Dentist | 11585 Us 14, Woodstock, IL 60098 | 2018-09-12 |
1396256467 | Gezelle Adams | Social Worker | 1200 Walden Oaks Dr, Woodstock, IL 60098 | 2017-10-17 |
1861910721 | Letitia Susan Edgell | Technician | 503 Lawndale Ave., Woodstock, IL 60098 | 2017-08-31 |
1104355460 | Jessica Evertsen | Doula | 435 Laurel Ave, Woodstock, IL 60098 | 2017-06-08 |
1871026724 | Bo Yeon Bartilotta | Dentist | 11585 Us-14, Woodstock, IL 60098 | 2017-04-07 |
1619337185 | Julia Karibian | Community Health Worker | 2983 Strauss Court, Woodstock, IL 60098 | 2016-02-26 |
1407249170 | Julia Bonti | Counselor | 13318 Hickory Ln, Woodstock, IL 60098 | 2015-03-05 |
1427485580 | Sara E Smedinghoff | Physical Therapy Assistant | 708 Washington Street, Woodstock, IL 60098 | 2013-10-03 |
1669721783 | Robert Eugene Haraden | Dentist | 651 S. Eastwood Dr, Woodstock, IL 60098 | 2012-09-05 |
1831447440 | Carla Peltier | Social Worker | 101 South Jefferson Street, Woodstock, IL 60098 | 2012-08-29 |
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Taxonomy Code | 251K00000X |
Grouping | Agencies |
Classification | Public Health or Welfare |
Definition to come... |
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1083665020 | Commonwealth of Virginia State Board of Health | Public Health or Welfare | 494 N Main St, Suite 100, Woodstock, VA 22664-1872 | 2006-05-15 |
1235403361 | Shenandoah County Free Clinic | Public Health or Welfare | 781 Spring Pkwy, Woodstock, VA 22664-1605 | 2012-03-07 |
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1154880326 | Budget Energy Marketing LLC | Public Health or Welfare | 600 Holiday Plaza Dr Ste 170, Matteson, IL 60443-2241 | 2019-03-18 |
1487015715 | Brothers Health Collective | Public Health or Welfare | 58 E 26th St, Chicago, IL 60616-2327 | 2016-03-15 |
1881064681 | Walgreens Co | Public Health or Welfare | 624 Portsmouth Pl, Wheeling, IL 60090-2633 | 2015-10-06 |
1093115883 | Le Penseur Youth & Family Services, Inc | Public Health or Welfare | 1464 W 115th St, Chicago, IL 60643-4465 | 2014-08-28 |
1750799441 | Pleasant Hill-spring Creek Ems | Public Health or Welfare | 405 Bottom St, Pleasant Hill, IL 62366-2373 | 2014-07-26 |
1356757942 | We Care for You LLC | Public Health or Welfare | 7307 N. Alpine Road, Suite A2, Loves Park, IL 61115-1874 | 2014-07-03 |
1720490436 | Ford County | Public Health or Welfare | 235 N Taft St, Paxton, IL 60957-1155 | 2014-05-29 |
1205274602 | Noaa | Public Health or Welfare | 1136 Amherst Ct, Lake Zurich, IL 60047-2776 | 2013-06-06 |
1720425119 | Health Zone, LLC | Public Health or Welfare | 3647 W Lawrence Ave, Chicago, IL 60625-5625 | 2013-05-27 |
1508200031 | Amazing Family Resources | Public Health or Welfare | 8439 Springfield Ave, Skokie, IL 60076-2767 | 2013-04-26 |
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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.