BRENNA CONLEY-FONDA (NPI# 1811556384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811556384 |
| Entity Type | Individual |
| Full Name | BRENNA CONLEY-FONDA |
| Practice Address |
618 Library Pl Evanston IL 60201-2908 |
| Practice Telephone | 8477334300 |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2019-06-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
618 LIBRARY PL |
| City | EVANSTON |
| State | IL |
| Zip Code | 60201-2908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962443424 | Richard Evan Zinbarg | Psychologist | 618 Library Pl, Evanston, IL 60201-2908 | 2006-06-08 |
| 1366081366 | Melissa Marie Prusko | Psychologist | 618 Library Pl, Evanston, IL 60201-2908 | 2019-12-23 |
| 1558919084 | Fallon Marie Calandriello | Counselor | 618 Library Pl, Evanston, IL 60201-2908 | 2019-08-28 |
| 1477100402 | Jennifer Casani | Counselor | 618 Library Pl, Evanston, IL 60201-2908 | 2019-08-23 |
| 1114572948 | Jing Lan | Marriage & Family Therapist | 618 Library Pl, Evanston, IL 60201-2908 | 2019-08-08 |
| 1104470608 | Jocelyn Mcdonnell | Counselor | 618 Library Pl, Evanston, IL 60201-2908 | 2019-08-01 |
| 1497308175 | Taylor Ann Mizuno Moore | Counselor | 618 Library Pl, Evanston, IL 60201-2908 | 2019-07-22 |
| 1184286387 | Katherine Slosburg | Counselor | 618 Library Pl, Evanston, IL 60201-2908 | 2019-07-08 |
| 1649832478 | Heather Chamberland | Psychologist | 618 Library Pl, Evanston, IL 60201-2908 | 2019-07-02 |
| 1689235962 | Kathleen Wade Reardon | Psychologist | 618 Library Pl, Evanston, IL 60201-2908 | 2019-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356962898 | Sebastian Andres Cruz | Internal Medicine | Northshore University Healthsystem, Off of Acad Affairs, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2020-05-06 |
| 1053970442 | Wade Gilman | Family Medicine | 1650 Ridge Ave, Ste 1304, Evanston, IL 60201 | 2019-06-10 |
| 1922577949 | Elizabeth Wilton Therapy, LLC | Counselor | 2901a Central St Ste 3, Evanston, IL 60201 | 2018-11-20 |
| 1952887812 | Sg Wellness LLC | Clinic/Center | 3008 Central Street, Evanston, IL 60201 | 2018-07-13 |
| 1689169591 | Michael Kert Zijlstra | Internal Medicine | Northshore University Healthsystem Office of Academic, Affairs 2650 Ridge Ave, Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1982199725 | Elizabeth Hannah Lees | Internal Medicine | Northshore University Healthsystem Office of Academic A, 2650 Ridge Ave Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1730674565 | Ashley Elizabeth Aller | Internal Medicine | Northshore University Healthsystem, Office Acad Affairs, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1669967683 | Ayush N Shah | Internal Medicine | 2650 Ridge Ave Ste 5315, Evanston, IL 60201 | 2018-06-22 |
| 1811481062 | Jeffrey D. Brow | Internal Medicine | 2650 Ridge Ave Rm 5315, Evanston, IL 60201 | 2018-06-20 |
| 1831687250 | Michael Patrick Murphy | Radiology | 807 Davis St. Unit 707, Evanston, IL 60201 | 2018-05-01 |
| Find all providers in zip 60201 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245876408 | John Lee Choi | Counselor | 1007 Church St Ste 302, Evanston, IL 60201-5912 | 2019-11-22 |
| 1386161131 | Aser L Williams | Counselor | 900 Chicago Ave # 204, Evanston, IL 60202-1872 | 2017-08-23 |
| 1811445455 | Verda Bhatti | Counselor | 701 Oakton St, Evanston, IL 60202-2991 | 2016-09-12 |
| 1366862187 | Andrew Ross | Counselor | 1557 Sherman Ave Ste 5, Evanston, IL 60201-4836 | 2014-04-19 |
| 1013274174 | Christopher G. Miller | Counselor | 2509 Thayer St, Evanston, IL 60201-1319 | 2012-04-13 |
| 1730410077 | Scott Conklin | Counselor | 636 Church St Ste 420, Evanston, IL 60201-4580 | 2010-01-27 |
| 1457680795 | Raquel Galan | Counselor | 1604 Chicago Avenue, Suite 10, Evanston, IL 60201 | 2009-12-16 |
| 1083941389 | Todd Bader | Counselor | 724 Front St, Suite 511, Evanston, WY 82931 | 2009-11-06 |
| 1760502959 | Olga Mest Interpreters Inc | Counselor | 2123 Wesley Ave, Evanston, IL 60201 | 2007-03-30 |
| 1124146998 | Tamara L. Newell | Counselor | 445 Ridge Ave, Evanston, IL 60202-5345 | 2007-03-27 |
| Find all providers in EVANSTON | ||||
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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.