CHRISTINE M NOVAK (NPI# 1740256874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740256874 |
| Entity Type | Individual |
| Full Name | CHRISTINE M NOVAK |
| Credential | LCPC |
| Practice Address |
1315 Memorial Dr Mendota IL 61342-1447 |
| Mailing Address |
Po Box 364 Rochelle IL 61068-0364 |
| Practice Telephone | 8155012088 |
| Practice Fax Number | 8152200843 |
| Mailing Telephone | 8155012088 |
| Mailing Fax Number | 8152200843 |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2008-06-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
180005483 | IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| COMPSYCH | 245739 | 01 | |
| BCBS IL | 623783 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689232472 | Christine Novak | Physical Therapist | The Birches Assisted Living, 215 55th Street, Clarendon Hills, IL 60514-1578 | 2019-06-05 |
| 1730658477 | Christine Lena Novak | Registered Nurse | 9301 Hog Eye Rd Unit 318, Austin, TX 78724-4608 | 2018-11-23 |
| 1609389022 | Christine Novak | Registered Nurse | 1800 Mulberry St, Scranton, PA 18510-2369 | 2017-11-07 |
| Street Address |
1315 MEMORIAL DR |
| City | MENDOTA |
| State | IL |
| Zip Code | 61342-1447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871577486 | Krista Anne Pinter | Occupational Therapist | 1315 Memorial Dr, Mendota, IL 61342-1447 | 2005-12-06 |
| 1548573108 | Changes Counseling, LLC | Counselor | 1315 Memorial Dr, Mendota, IL 61342-1447 | 2010-07-23 |
| 1932230455 | Bhate & Bhate Radiology Ltd. | Specialist | 1315 Memorial Dr, Mendota, IL 61342-1447 | 2007-03-08 |
| 1245306166 | Pamela A Hansen | Physician Assistant | 1315 Memorial Dr, Mendota, IL 61342-1447 | 2006-11-24 |
| 1518038488 | William M Zander | Emergency Medicine | 1315 Memorial Dr, Mendota, IL 61342-1447 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568536845 | Keri Sundberg | Dentist | 709 Plaza Drive, Mendota, IL 61342 | 2006-11-20 |
| 1114022589 | Goslin Drug Store Inc | Pharmacy | 1212 13th Ave, Mendota, IL 61342 | 2006-09-13 |
| 1467402412 | Neungja Chung | Acupuncturist | Mendota Community Hospital, 1315 Memorial Drive, Mendota, IL 61342 | 2006-05-11 |
| 1487622205 | Kelly R. Minihane | Physician Assistant | 1404 Washington Street, Mendota, IL 61342 | 2006-03-08 |
| 1134193022 | Donald Wilbert Piller | Chiropractor | 1312 Lakewood Dr, Mendota, IL 61342 | 2006-02-15 |
| 1770975377 | National Pain Clinic, LLC | Anesthesiology | 1401 E 12th St, Mendota, IL 61342 | 2015-02-19 |
| 1073869475 | Katherine Rose Riva-foster | Anesthesiology | 1401 E 12th St, Mendota, IL 61342 | 2012-08-03 |
| 1386789220 | Juli Renee Barrett Leifheit | Chiropractor | 901 Main St, Ste A, Mendota, IL 61342 | 2007-02-20 |
| 1205383197 | Mendota Community Hospital | Clinic/Center | 1401 Washington Street, Mendota, IL 61342-0001 | 2016-09-08 |
| 1780699447 | Linnea L Person | Chiropractor | 1301 14th Ave, Mendota, IL 61342-1001 | 2006-07-30 |
| Find all providers in zip 61342 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710360326 | Malery Mancha | Counselor | 121 Belmont Ave, Mendota, CA 93640-8232 | 2015-06-30 |
| 1194134254 | Maria De Jesus Verdugo Lopez | Counselor | 121 Belmont Ave, Mendota, CA 93640-8232 | 2014-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780602 | Saba Aqel | Counselor | 107 W Van Buren St Ste 215, Chicago, IL 60605-1054 | 2020-11-05 |
| 1124629696 | Audra Murphy | Counselor | 1020 E Ogden Ave Ste 204, Naperville, IL 60563-8610 | 2020-11-02 |
| 1811597412 | Mindy Marie Eastling | Counselor | 27240 Dutton Rd, Beecher, IL 60401-5054 | 2020-11-01 |
| 1306446307 | Oak Point Counseling, Pllc | Counselor | 1207 Mchenry Rd Ste 217b, Buffalo Grove, IL 60089-1371 | 2020-10-28 |
| 1508466061 | Kathrin Simac | Counselor | 900 Royal Heights Rd # 2150, Belleville, IL 62226-5457 | 2020-10-26 |
| 1669071288 | Kristin Smith Warden | Counselor | 566 Cedar St, Winnetka, IL 60093-2338 | 2020-10-24 |
| 1538768155 | Angelicare LLC | Counselor | 6650 N Northwest Hwy Ste 215, Chicago, IL 60631-1363 | 2020-10-23 |
| 1568061612 | Donnie L Winget | Counselor | 536 N Division St, Carterville, IL 62918-1006 | 2020-10-20 |
| 1013516145 | Modern Soul Therapy LLC | Counselor | 2000 N Racine Ave Ste 2160, Chicago, IL 60614-4045 | 2020-10-20 |
| 1861090433 | Ruth Elaine Rayfield | Counselor | 418 North Center Street, Apt# 206, South Elgin, IL 60177 | 2020-10-15 |
| Find all providers with the same taxonomy | ||||
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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.