LAYNIE FOUNDATION (NPI# 1790076628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790076628 |
| Entity Type | Organization |
| Organization Name | LAYNIE FOUNDATION |
| Practice Address |
4749 Lincoln Mall Dr Suite 202 Matteson IL 60443-2348 |
| Practice Telephone | 3129296860 |
| Practice Fax Number | 2195580271 |
| Mailing Telephone | 3129296860 |
| Mailing Fax Number | 2195580271 |
| Enumeration Date | 2011-04-26 |
| Last Update Date | 2011-04-26 |
| Authorized Official Name | DR. SUMMER MATHESON (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 3129296860 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932442571 | Laynie Foundation | Clinic/Center | 4747 Lincoln Mall Dr, Suite 604, Matteson, IL 60443-3811 | 2013-04-02 |
| Street Address |
4749 LINCOLN MALL DR SUITE 202 |
| City | MATTESON |
| State | IL |
| Zip Code | 60443-2348 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730395559 | Athletico Ltd | Physical Therapist | 4749 Lincoln Mall Dr, Suite 550, Matteson, IL 60443-2348 | 2007-05-16 |
| 1023387289 | Abigail Lynn Ruklic | Specialist/Technologist | 4749 Lincoln Mall Dr, Suite 550, Matteson, IL 60443-2348 | 2011-12-17 |
| 1194048108 | Pinhas Sharon Md, LLC | Internal Medicine | 4749 Lincoln Mall Dr, Suite 204, Matteson, IL 60443-1180 | 2010-03-04 |
| 1942537477 | Mikkal Harris | Counselor | 4749 Lincoln Mall Dr, #202, Matteson, IL 60443-2348 | 2009-11-04 |
| 1811152515 | Ayesha D Griffin | Physical Therapist | 4749 Lincoln Mall Dr, Suite 550, Matteson, IL 60443-2348 | 2008-07-22 |
| 1760653562 | Wendy Ceko | Physical Therapist | 4749 Lincoln Mall Dr, Suite 550, Matteson, IL 60443-2348 | 2008-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821642497 | Natalie Donyelle Mitchell | Psychologist | 6202 Vollmer Rd Colin Powell Middle School, Elementary Sd 159, Matteson, IL 60443 | 2019-07-31 |
| 1881199909 | Christopher Anthony Smith | Student in an Organized Health Care Education/Training Program | 5660 Woodgate Dr, Matteson, IL 60443 | 2018-03-29 |
| 1336695253 | Renato Leano | Physical Therapist | 21020 Kostner Avenue, Matteson, IL 60443 | 2016-08-31 |
| 1669826657 | Heredeshee Latrice Taylor | Nurse Practitioner | 3201 Holden Cir, Matteson, IL 60443 | 2016-04-16 |
| 1366713125 | Rosanne Miller Tadsen | Counselor | 6201 Vollmer Rd, Matteson, IL 60443 | 2012-01-25 |
| 1598063281 | Sheri Temple | Occupational Therapist | 3906 212th Place, Matteson, IL 60443 | 2011-03-04 |
| 1013247576 | Sheila M. Pijus | Counselor | 336 Tullamore Ter., Matteson, IL 60443 | 2010-01-06 |
| 1962731190 | Benita Yvette Norwoord | Counselor | 600 Holiday Plaza, Matteson, IL 60443 | 2009-12-17 |
| 1386881654 | Reliance Home Health Services, Inc. | Home Health | 4350 W. Lincoln Hwy #210, Reliance Home Health Services, Inc., Matteson, IL 60443 | 2009-01-08 |
| 1518139286 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 5640 211th St., Matteson, IL 60443 | 2008-04-02 |
| Find all providers in zip 60443 | ||||
| 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 |
|---|---|---|---|---|
| 1528513322 | New Direction Advocacy and Therapeutic Consultant, Nfp | Community/Behavioral Health | 5549 Allemong Dr, Matteson, IL 60443-1101 | 2016-08-22 |
| 1215392931 | One Direction Forward Inc. | Community/Behavioral Health | 4747 Lincoln Mall Dr Ste 412, Matteson, IL 60443-3821 | 2015-12-22 |
| 1417262924 | National Youth Advocate Program, Inc | Community/Behavioral Health | 4801 Southwick Dr Fl 3, Matteson, IL 60443-2254 | 2010-08-10 |
| 1710217336 | Camelot Care Centers, LLC | Community/Behavioral Health | 4747 Lincoln Mall Dr Ste 305, Matteson, IL 60443-3814 | 2010-01-04 |
| 1699145870 | Malone & Christian, Inc. | Community/Behavioral Health | 600 Holiday Plaza Dr Ste 130, Matteson, IL 60443-2236 | 2015-10-01 |
| 1114246832 | Mays and Associates, Inc. | Community/Behavioral Health | 4440 Lincoln Hwy, Suite 100, Matteson, IL 60443-2349 | 2010-05-19 |
| 1114190477 | Transitions Counseling | Community/Behavioral Health | 20320 Crawford Ave, Matteson, IL 60443-1732 | 2008-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820648 | Community Wellness Group | Community/Behavioral Health | 635 Argyle Ave, Flossmoor, IL 60422-1201 | 2020-10-26 |
| 1437758711 | Gina Baldacci, Lcsw, LLC | Community/Behavioral Health | 231 Longridge Dr, Bloomingdale, IL 60108 | 2020-10-19 |
| 1790383610 | Joni Lamb Therapy, LLC | Community/Behavioral Health | 1555 Sherman Ave # 308, Evanston, IL 60201-4421 | 2020-10-13 |
| 1811594906 | Everyday Empowered Clinical Services, Ltd. | Community/Behavioral Health | 5117 Main St, Suite #7, Downers Grove, IL 60515 | 2020-10-02 |
| 1942817150 | Pacem Wellness, LLC | Community/Behavioral Health | 8 Eagle Ctr Ste 12, O Fallon, IL 62269-1947 | 2020-09-30 |
| 1831703271 | Boules Clinical Psychology Group | Community/Behavioral Health | 200 S Frontage Rd Ste 324, Burr Ridge, IL 60527-6953 | 2020-09-02 |
| 1336753896 | Counseling Kennedy Shenberg | Community/Behavioral Health | 5752 N Campbell Ave Apt 1, Chicago, IL 60659-5080 | 2020-09-02 |
| 1265045371 | Brightside Recovery | Community/Behavioral Health | 1667 Belvidere Rd, Belvidere, IL 61008-9306 | 2020-08-28 |
| 1902419021 | Brightside Recovery | Community/Behavioral Health | 8041 186th St Ste B, Tinley Park, IL 60487-9344 | 2020-08-28 |
| 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 |
| 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.