HAZELDEN BETTY FORD FOUNDATION (NPI# 1700270964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700270964 |
| Entity Type | Organization |
| Organization Name | HAZELDEN BETTY FORD FOUNDATION |
| Practice Address |
867 N Dearborn St Chicago IL 60610-3310 |
| Mailing Address |
318 Lee St Evanston IL 60202-1898 |
| Practice Telephone | 3129433534 |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2015-03-26 |
| Authorized Official Name | JENNIFER MOSELEY (CD PROFESSION 1) |
| Authorized Official Telephone | 3129433534 |
| Authorized Official Credential | MA, CADC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | IL | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437634730 | Hazelden Betty Ford Foundation | Clinic/Center | 1231 116th Ave. Ne Suite 410, Bellevue, WA 98004 | 2018-10-02 |
| 1043679350 | Hazelden Betty Ford Foundation | Substance Abuse Rehabilitation Facility | 680 Stewart Ave, Saint Paul, MN 55102-4117 | 2016-02-15 |
| 1376922856 | Hazelden Betty Ford Foundation | Substance Abuse Rehabilitation Facility | 15251 Pleasant Valley Rd, Center City, MN 55012-9640 | 2015-05-29 |
| 1508261025 | Hazelden Betty Ford Foundation | Substance Abuse Rehabilitation Facility | 10700 Santa Monica Blvd, Suite 310, Los Angeles, CA 90025-4768 | 2014-10-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | HAZELDEN BETTY FORD FOUNDATION | 15251 Pleasant Valley Road, Center City, MN 55012 |
| Massachusetts Corporations | HAZELDEN BETTY FORD FOUNDATION | 15251 Pleasant Valley Rd., Center City, MN 55012 |
| New York State Corporations | HAZELDEN BETTY FORD FOUNDATION | 28 Liberty St., New York, New York 10005 |
| Colorado Business Entities | Hazelden Betty Ford Foundation | 15251 Pleasant Valley Road, Center City, MN 55012 |
| Oregon Corporations, Companies and Business Names | HAZELDEN BETTY FORD FOUNDATION | 15251 Pleasant Valley Road, Center City, MN 55012 |
| Street Address |
867 N DEARBORN ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60610-3310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245397959 | Hazelden Chicago | Clinic/Center | 867 N Dearborn St, Chicago, IL 60610-3310 | 2007-01-02 |
| 1669083853 | Carolyn Wott | Counselor | 867 N Dearborn St, Chicago, IL 60610-3310 | 2020-08-12 |
| 1629508056 | Faith H. Martin | Counselor | 867 N Dearborn St, Chicago, IL 60610-3310 | 2017-06-18 |
| 1568813939 | Robert Carty | Counselor | 867 N Dearborn St, Chicago, IL 60610-3310 | 2016-06-28 |
| 1477929503 | Sharla Edwards | Counselor | 867 N Dearborn St, Chicago, IL 60610-3310 | 2015-08-12 |
| 1710364716 | Recovery Partners, P.C. | Psychologist | 867 N Dearborn St, Chicago, IL 60610-3310 | 2015-04-29 |
| 1205188778 | Natasa Peric | Social Worker | 867 N Dearborn St, Chicago, IL 60610-3310 | 2012-10-09 |
| 1336418797 | Tiffany Louise Turkowski | Social Worker | 867 N Dearborn St, Chicago, IL 60610-3310 | 2011-12-14 |
| 1932407111 | Mara Y Schieber | Social Worker | 867 N Dearborn St, Chicago, IL 60610-3310 | 2011-03-11 |
| 1922308865 | Anthony David Campobasso | Counselor | 867 N Dearborn St, Chicago, IL 60610-3310 | 2010-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326683145 | Roslyn M Jordan | Counselor | 860 N. Lasalle, Chicago, IL 60610 | 2019-11-15 |
| 1992278196 | Deangela Roberson | Specialist/Technologist, Other | 1212 N. Lasalle, Ste 100/ Surgery Center, Chicago, IL 60610 | 2019-01-10 |
| 1477053205 | Terri Lynn Tyson | Counselor | 1250 N. Dearborn St., 18b, Chicago, IL 60610 | 2018-02-19 |
| 1487153797 | Jennifer Quinn | Social Worker | 1200 N. Lasalle Street, Chicago, IL 60610 | 2018-02-02 |
| 1811415334 | Erin Conroy | Behavioral Analyst | 1400 North Lake Shore Drive Apt 8a, Chicago, IL 60610 | 2017-09-05 |
| 1659898674 | Courtney Jane Busing | Speech-Language Pathologist | 1211 N Lasalle, 903, Chicago, IL 60610 | 2017-08-30 |
| 1528503042 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 908 North State Street, Chicago, IL 60610 | 2016-12-20 |
| 1548702814 | Melissa Snyder | Counselor | 1820 N Lasalle Blvd, Counseling- Sweeting, Chicago, IL 60610 | 2016-11-17 |
| 1982146908 | Samantha Ruth Slagh | Physical Therapist | 1100 N Lasalle Street, Apt 1018, Chicago, IL 60610 | 2016-11-08 |
| 1891242426 | Stephanie Pinsler | Counselor | 100 W Chestnut, #1907, Chicago, IL 60610 | 2016-09-01 |
| Find all providers in zip 60610 | ||||
| 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 |
|---|---|---|---|---|
| 1336753896 | Counseling Kennedy Shenberg | Community/Behavioral Health | 5752 N Campbell Ave Apt 1, Chicago, IL 60659-5080 | 2020-09-02 |
| 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 |
| 1164030557 | Acorn & Oak Counseling Pllc | Community/Behavioral Health | 1333 W Devon Ave Ste 319, Chicago, IL 60660-1329 | 2020-07-21 |
| 1144848300 | Marathon Mindset Counseling LLC | Community/Behavioral Health | 1650 W Adams St Apt 304, Chicago, IL 60612-3209 | 2020-07-13 |
| 1417586678 | Invisions Behavioral Health LLC | Community/Behavioral Health | 8211 S Woodlawn Ave, Chicago, IL 60619-4519 | 2020-04-08 |
| 1871124784 | Nurture Therapy, LLC | Community/Behavioral Health | 3711 N Ravenswood Ave Ste 146, Chicago, IL 60613-5944 | 2020-01-29 |
| 1962032086 | Bucktown Therapy | Community/Behavioral Health | 1820 W Webster Ave Ste 200, Chicago, IL 60614-2934 | 2020-01-16 |
| 1770121436 | Guided Expressions LLC | Community/Behavioral Health | 6640 S University Ave Apt 2, Chicago, IL 60637-4320 | 2019-12-12 |
| 1063058279 | Y Not Families | Community/Behavioral Health | 6427 S Ashland Ave, Chicago, IL 60636-2716 | 2019-11-22 |
| 1073156196 | Black Tie Therapy | Community/Behavioral Health | 2232 N Wayne Ave Apt 1f, Chicago, IL 60614-8937 | 2019-10-21 |
| Find all providers in CHICAGO | ||||
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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.