MRS. CYNTHIA CONSUELA PHILLIPS (NPI# 1821337833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821337833 |
| Entity Type | Individual |
| Full Name | MRS. CYNTHIA CONSUELA PHILLIPS |
| Credential | LCPC |
| Practice Address |
11111 S Western Ave Chicago IL 60643-3907 |
| Practice Telephone | 7732381100 |
| Practice Fax Number | 7732384905 |
| Mailing Telephone | 7732381100 |
| Mailing Fax Number | 7732384905 |
| Enumeration Date | 2013-02-11 |
| Last Update Date | 2013-02-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
IL | Behavioral Health & Social Service Providers | |
| Y | 101YP2500X |
Counselor Specialization: Professional |
IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982224143 | Cynthia Naomi Phillips | Nursing Care | 1925 Harborview Dr, Sumter, SC 29153-8306 | 2020-04-17 |
| 1891323580 | Cynthia Phillips | Technician | 1411 Orange Cir, Florence, SC 29506-6315 | 2020-03-30 |
| 1396390308 | Cynthia Ann Phillips | Licensed Practical Nurse | 14478 Sturbridge Rd Ne, Alliance, OH 44601-1101 | 2019-08-06 |
| 1093934226 | Cynthia Mccain Phillips | Pharmacist | 715 Sumter St Cls # 316c, South Carolina College of Pharmacy At Usc, Columbia, SC 29208-0001 | 2007-04-25 |
| 1962520197 | Cynthia L Jennings Phillips | Dentist | 203 W Wilson St, Ottumwa, IA 52501-4725 | 2007-03-26 |
| 1588768832 | Cynthia Phillips | Occupational Therapist | 1269 Beacon Street, Suite 2, Brookline, MA 02246 | 2006-09-08 |
| 1376012856 | Cynthia Ann Phillips | Counselor | 124 E Pacific Ave, Spokane, WA 99202-1518 | 2018-11-14 |
| 1902383862 | Cynthia D Phillips | Nurse Practitioner | 9510 Ormsby Station Rd Ste 100, Louisville, KY 40223 | 2018-07-24 |
| 1841785185 | Cynthia Dawn Phillips | Nurse Practitioner | 4101 N Water Tower Pl, Mount Vernon, IL 62864-6296 | 2018-06-28 |
| 1962862409 | Cynthia Phillips | Counselor | 22505 Woodroe Ave, Hayward, CA 94541-3410 | 2016-02-25 |
| Street Address |
11111 S WESTERN AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60643-3907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538693882 | Sarah O'connor | Counselor | 11111 S Western Ave, Chicago, IL 60643-3907 | 2017-04-13 |
| 1508390857 | Oren William Brown II | Counselor | 11111 S Western Ave, Chicago, IL 60643-3907 | 2017-04-13 |
| 1033654439 | Brenda T. Thompson | Social Worker | 11111 S Western Ave, Chicago, IL 60643-3907 | 2016-12-21 |
| 1376086066 | Nashawna Longenese Terrell | Social Worker | 11111 S Western Ave, Chicago, IL 60643-3907 | 2016-11-29 |
| 1366880429 | The Branch Family Institute, Inc. | Voluntary or Charitable | 11111 S Western Ave, Chicago, IL 60643-3907 | 2013-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154941698 | Breann Hampton | Behavior Technician | 1214 W 115th St, Chicago, IL 60643 | 2020-04-24 |
| 1366075566 | Sanctuary Counseling, LLC | Home Health | 12247 S Racine Ave, Calumet Park, IL 60643 | 2020-02-16 |
| 1467082883 | Juliana Frances Cunningham | Developmental Therapist | 10037 S Bell, Chicago, IL 60643 | 2020-01-24 |
| 1013578624 | Sct Counseling | Counselor | 11948 S Western Ave, Chicago, IL 60643 | 2019-06-25 |
| 1073087474 | For Eyes Optical Company of Pa | Optometrist | 9900 S Ridgleland Ave, Chicago Ridge, IL 60643 | 2019-01-18 |
| 1073096426 | Derek Peake | Physical Therapist | 9465 S. Western Road, Chicago, IL 60643 | 2018-09-12 |
| 1508356072 | Halo Medical Professionals Sc. | Chiropractor | 10650 S Western Ave, Chicago, IL 60643 | 2018-05-10 |
| 1811405699 | Kara Eileen Noland | Developmental Therapist | 9327 S Hamilton Ave, Chicago, IL 60643 | 2018-01-16 |
| 1588173546 | Kiah Nicole Bouie | Behavioral Analyst | 1461 W 113th Pl, Chicago, IL 60643 | 2017-09-21 |
| 1174042766 | Travis Wade Robertson | Physical Therapist | 10909-11 S Western Ave, Beverly, IL 60643 | 2017-09-14 |
| Find all providers in zip 60643 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477579 | Shantrell Patrice Sutton | Counselor | 5042 W Erie St, Chicago, IL 60644-1604 | 2020-11-05 |
| 1073114591 | Alternative Schools Network | Counselor | 1807 W Sunnyside Ave, Chicago, IL 60640-5898 | 2020-11-02 |
| 1992306518 | Gravity and Grace Psychotherapy, Pllc | Counselor | 1305 S Michigan Ave Apt 602, Chicago, IL 60605-3398 | 2020-11-02 |
| 1811597263 | April Wilburne | Counselor | 804 E 54th St Apt 3, Chicago, IL 60615-4972 | 2020-10-27 |
| 1043810393 | Pamela Kranyak | Counselor | 30 N Michigan Ave Ste 925, Chicago, IL 60602-3463 | 2020-10-27 |
| 1003413378 | Erika Aguirre | Counselor | 5040 S Keating Ave., Chicago, IL 60632-4919 | 2020-10-08 |
| 1497361661 | Michael V Biederman | Counselor | 4254 N Mozart St Apt 2s, Chicago, IL 60618-1784 | 2020-09-22 |
| 1013523984 | Antionette Fisher | Counselor | 5703 S Peoria St, Chicago, IL 60621-2262 | 2020-09-16 |
| 1114532561 | Nefesh Counseling, LLC | Counselor | 3320 W Foster Ave # 124, Chicago, IL 60625-4813 | 2020-09-12 |
| 1114531043 | Katherine E Evans | Counselor | 1528 W Jonquil Ter Unit 2c, Chicago, IL 60626-5932 | 2020-09-08 |
| 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.