JANE ADDAMS COMM MENTAL HEALTH CENTER (NPI# 1679615363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679615363 |
| Entity Type | Organization |
| Organization Name | JANE ADDAMS COMM MENTAL HEALTH CENTER |
| Other Organization Name | FHN FAMILY COUNSELING CENTER |
| Practice Address |
300 Summit St Galena IL 61036-1638 |
| Mailing Address |
Po Box 813 421 W Exchange Freeport IL 61032-0813 |
| Practice Telephone | 8157772836 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2018-11-05 |
| Authorized Official Name | KATHRYN MARTINEZ (VP OF PATIENT SERVICES) |
| Authorized Official Telephone | 8155997529 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| FHN Family Counseling Center | Doing Business As Name - Organization |
| Street Address |
300 SUMMIT ST |
| City | GALENA |
| State | IL |
| Zip Code | 61036-1638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235650540 | Justina Wandling | Counselor | 300 Summit St, Galena, IL 61036-1638 | 2017-06-28 |
| 1124575048 | Mark Wollam | Social Worker | 300 Summit St, Galena, IL 61036-1638 | 2016-09-08 |
| 1588085971 | William J White | Social Worker | 300 Summit St, Galena, IL 61036-1638 | 2014-01-02 |
| 1235379868 | Tracy Goetzinger | Counselor | 300 Summit St, Galena, IL 61036-1638 | 2009-02-23 |
| 1275770653 | Terri Tranel | Counselor | 300 Summit St, Galena, IL 61036-1638 | 2009-01-07 |
| 1770654303 | Carrie Trowbridge | Counselor | 300 Summit St, Galena, IL 61036-1638 | 2006-11-13 |
| 1205873460 | Kim Shird | Counselor | 300 Summit St, Galena, IL 61036-1638 | 2006-05-31 |
| 1801833066 | William Bruce-boehler | Social Worker | 300 Summit St, Galena, IL 61036-1638 | 2006-05-31 |
| 1083651251 | Bonnie Cox | Social Worker | 300 Summit St, Galena, IL 61036-1638 | 2006-05-31 |
| 1184671216 | Rhonda Wasson | Counselor | 300 Summit St, Galena, IL 61036-1638 | 2006-05-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194371104 | Pamela Sue Fassbinder | Clinical Nurse Specialist | 939 Galena Square Drive, Galena, IL 61036 | 2019-08-15 |
| 1770061871 | Michelle C Frangella Finley | Emergency Medical Technician, Basic | 217 Summit Street, Galena, IL 61036 | 2018-07-31 |
| 1588180897 | Erin Einsweiler Soat | Speech-Language Pathologist | 219 Kelly Lane, Galena, IL 61036 | 2017-08-17 |
| 1023427713 | Stephanie Cocagne | Counselor | 412 1/2 S Main Street, Unit 202, Galena, IL 61036 | 2014-08-06 |
| 1134458474 | Rebecca Ann Rosenthal | Chiropractor | 202 Summit Street, Galena, IL 61036 | 2009-12-16 |
| 1144474339 | Scott Richard Schaber | Physical Therapist | 10988 Bartell Blvd., Galena, IL 61036 | 2008-11-14 |
| 1326268327 | Jdwi | Clinic/Center | 706 West St, Galena, IL 61036 | 2007-05-01 |
| 1639213309 | Kelly Sue Kent | Speech-Language Pathologist | 706 S West Street, Galena, IL 61036 | 2007-02-16 |
| 1447391750 | Gregg Lee Painter | Dentist | 202 Summit St, Galena, IL 61036 | 2007-02-09 |
| 1962476119 | Galena Area Emergency Medical Service District | Ambulance | 217 Summit St, Galena, IL 61036 | 2006-02-15 |
| Find all providers in zip 61036 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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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.