LUTHERAN SOCIAL SERVICES OF IL (NPI# 1750334447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750334447 |
| Entity Type | Organization |
| Organization Name | LUTHERAN SOCIAL SERVICES OF IL |
| Practice Address |
1616 W Main St Marion IL 62959-1146 |
| Mailing Address |
1001 E Touhy Ave Suite 50 Des Plaines IL 60018-5801 |
| Practice Telephone | 6189979196 |
| Practice Fax Number | 6189976843 |
| Mailing Telephone | 8476354600 |
| Mailing Fax Number | 8476356764 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. GERALD EDMUND NOONAN (V.P. FINANCE / CFO) |
| Authorized Official Telephone | 8476354600 |
| 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) |
=========027 | IL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 04092 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205209715 | Lutheran Social Services of Il | Counselor | 102 E Deyoung St Ste B, Marion, IL 62959-2724 | 2015-11-05 |
| 1316386477 | Lutheran Social Services of Il | Clinic/Center | 605 N Logan Ave, Danville, IL 61832-4371 | 2013-06-21 |
| 1275853970 | Lutheran Social Services of Il | Clinic/Center | 2821 5th St, Rock Island, IL 61201-4028 | 2010-06-03 |
| 1639499338 | Lutheran Social Services of Il | Clinic/Center | 167 N Kellogg St, Galesburg, IL 61401-4714 | 2010-06-03 |
| 1467772160 | Lutheran Social Services of Il | Clinic/Center | 103 S Country Fair Dr, Champaign, IL 61821-3061 | 2010-06-03 |
| 1366762064 | Lutheran Social Services of Il | Clinic/Center | 308 W State St Ste 205, Rockford, IL 61101-1117 | 2010-06-03 |
| 1831544378 | Lutheran Social Services of Il | Counselor | 2740 W Foster Ave, Ste 103, Chicago, IL 60625-3500 | 2016-05-03 |
| 1134565690 | Lutheran Social Services of Il | Clinic/Center | 4840 W Byron St, Chicago, IL 60641-2712 | 2013-05-10 |
| 1619297314 | Lutheran Social Services of Il | Clinic/Center | 1901 1st Ave, Sterling, IL 61081-1203 | 2010-06-03 |
| 1194045898 | Lutheran Social Services of Il | Clinic/Center | 700 E Oak St, Suite 203, Canton, IL 61520-3157 | 2010-06-03 |
| Street Address |
1616 W MAIN ST |
| City | MARION |
| State | IL |
| Zip Code | 62959-1146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912563792 | Amy Creek-koehn | Counselor | 1616 W Main St, Marion, IL 62959-1146 | 2019-05-16 |
| 1053866004 | Alternatives Counseling, Inc. | Community/Behavioral Health | 1616 W Main St, Marion, IL 62959-1146 | 2016-08-19 |
| 1568791408 | Angela Price Buss | Nurse Anesthetist, Certified Registered | 1616 W Main St, Suite 508, Marion, IL 62959-1146 | 2009-12-23 |
| 1700035045 | Nancy A. Smith | Social Worker | 1616 W Main St, Suite 500, Marion, IL 62959-1146 | 2008-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710513486 | Sarah Benitone | Counselor | 11264 Il-37, Marion, IL 62959 | 2020-03-13 |
| 1528609328 | Patricia E Murphy | Radiology | 4503 1/2 W Deyoung, Suite 3a, Marion, IL 62959 | 2019-10-02 |
| 1366007007 | Centerstone of Illinois, Inc | Community/Behavioral Health | 202 S Bentley St, Marion, IL 62959 | 2019-05-08 |
| 1649752064 | Sydney Seiter | Occupational Therapist | 906 Skyline Suite 100, Marion, IL 62959 | 2018-09-01 |
| 1497279848 | Brooke Alisa Osman | Licensed Practical Nurse | 11531 Sunderland Road, Marion, IL 62959 | 2017-07-27 |
| 1912436429 | Joy L. Kee | Social Worker | 509 South Bentley Street, Marion, IL 62959 | 2017-06-08 |
| 1386181170 | Susan Smothers | Counselor | 1305 West Main Street, Marion, IL 62959 | 2017-01-31 |
| 1205280922 | Harish Kempegowda | Orthopaedic Surgery | 3331 W Deyoung St Ste 201, Marion, IL 62959 | 2016-04-19 |
| 1942609227 | Casey Hill | Social Worker | 1604 W. Walnut St., Marion, IL 62959 | 2014-08-22 |
| 1306252812 | Justin M White | Chiropractor | 1603 W Kimmel, Marion, IL 62959 | 2014-07-03 |
| Find all providers in zip 62959 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649447376 | Abbe Center for Cmh At Horizons | Clinic/Center | 4000 Highway 151, Marion, IA 52302-6537 | 2008-05-12 |
| 1861417602 | Arp/phoenix | Clinic/Center | 486 Spaulding Rd, Marion, NC 28752-5212 | 2006-07-13 |
| 1518133685 | Abbe Center for Cmh At Abbe Center for Community Care | Clinic/Center | 1860 County Home Rd, Marion, IA 52302-9753 | 2008-05-07 |
| 1346416922 | Counseling Consultants | Clinic/Center | 230 Pine St, Marion, AR 72364-1958 | 2008-05-05 |
| 1356376149 | Counseling Consultants, Inc | Clinic/Center | 210 Manor St, Marion, AR 72364-1936 | 2006-07-11 |
| 1407848500 | Grant-blackford Mental Health, Inc. | Clinic/Center | 505 N Wabash Ave, Marion, IN 46952-2608 | 2005-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225639990 | Mindy Forman, Psyd, LLC | Clinic/Center | 1020 Milwaukee Ave Ste 110, Deerfield, IL 60015-3555 | 2020-11-07 |
| 1346840295 | Stopka Professional Counseling LLC | Clinic/Center | 13125 Steeplechase Dr, New Lenox, IL 60451-1320 | 2020-10-29 |
| 1346848785 | Wellness Hearted Therapy LLC | Clinic/Center | 2675 S Cedar Glen Dr, Arlington Heights, IL 60005-5303 | 2020-10-16 |
| 1457959256 | Association for Individual Development | Clinic/Center | 708 N Bridge St, Yorkville, IL 60560-1105 | 2020-10-14 |
| 1285231555 | Association for Individual Development | Clinic/Center | 236 W Crystal Lake Ave, Crystal Lake, IL 60014-5847 | 2020-10-08 |
| 1386241123 | Envision Unlimited | Clinic/Center | 1801 N Spaulding Ave, Chicago, IL 60647-4926 | 2020-10-05 |
| 1881291789 | Jessica Weisbach, LLC | Clinic/Center | 2257 N Kedzie Blvd Apt 3, Chicago, IL 60647-2561 | 2020-10-04 |
| 1619574803 | Envision Unlimited | Clinic/Center | 2124 W 82nd Pl, Chicago, IL 60620-5358 | 2020-10-01 |
| 1144827320 | Envision Unlimited | Clinic/Center | 4919 N Clark St, Chicago, IL 60640-3514 | 2020-10-01 |
| 1194322370 | Envision Unlimited | Clinic/Center | 4911 S Hoyne Ave, Chicago, IL 60609-4721 | 2020-10-01 |
| 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.