MIDWEST BEHAVIORAL CENTER INC. (NPI# 1841389202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841389202 |
| Entity Type | Organization |
| Organization Name | MIDWEST BEHAVIORAL CENTER INC. |
| Practice Address |
112 S Halsted St Chicago Heights IL 60411-1256 |
| Practice Telephone | 7087561700 |
| Practice Fax Number | 7087561711 |
| Mailing Fax Number | 7087561711 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. KEITH GILL (ADMINISTRATOR) |
| Authorized Official Telephone | 7084415593 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
112 S HALSTED ST |
| City | CHICAGO HEIGHTS |
| State | IL |
| Zip Code | 60411-1256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093002578 | Omestris Dion Anderson | Case Manager/Care Coordinator | 112 S Halsted St, Chicago Heights, IL 60411-1256 | 2011-07-05 |
| 1801194527 | Suburban Health and Rehabilitation Center | Counselor | 112 S Halsted St, Chicago Heights, IL 60411-1256 | 2011-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164044236 | Bryant Healthy Living, LLC | Nurse Practitioner | 19404 N. Creek Drive, Lynwood, IL 60411 | 2020-05-12 |
| 1235657263 | Natisha Olaseni | Case Manager/Care Coordinator | 641 W. 63rd Street, Chicago, IL 60411 | 2017-08-30 |
| 1033644497 | Fresenius Medical Care Chicagoland, LLC | Clinic/Center | 15 E. Independence Drive, Chicago Heights, IL 60411 | 2017-04-24 |
| 1992251771 | Latonya West | Counselor | 1640 215th Pl, Sauk Village, IL 60411 | 2016-08-31 |
| 1063868586 | Oho and Associates | Non-emergency Medical Transport (VAN) | 1010 S. Dixie Hwy, Chicago Heights, IL 60411 | 2016-05-13 |
| 1578945309 | Albert Ellis Jr. | Counselor | 395 West Lincoln Highway, Chicago Heights, IL 60411 | 2015-06-29 |
| 1407238181 | Stephanie Touney | Behavioral Analyst | 450 West 14th Street, Chicago Heights, IL 60411 | 2015-06-18 |
| 1851788582 | Dlw Transporation Corp | Non-emergency Medical Transport (VAN) | 603 Andover, Chicago H.t.s., IL 60411 | 2015-04-21 |
| 1215338983 | Stephanie Anderson-bell | Occupational Therapist | 630 Ranger Dr., Chicago Heights, IL 60411 | 2014-09-11 |
| 1255778221 | Aunt Martha's Youth Service Center, Inc | Clinic/Center | 500 Dixie Highway, Chicago Heights, IL 60411 | 2013-05-30 |
| Find all providers in zip 60411 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336489996 | Herbert Goodman Jr. | Counselor | 1438 Scott Ave, Chicago Heights, IL 60411-3226 | 2013-02-19 |
| 1720605868 | Erin Therese Barry | Counselor | 222 Vollmer Rd Ste Aa2, Chicago Heights, IL 60411-1664 | 2020-07-05 |
| 1265066021 | Nikita Brown | Counselor | 450 W 14th St, Chicago Heights, IL 60411-2463 | 2020-03-02 |
| 1336783299 | Chantel Cannon | Counselor | 450 W 14th St, Chicago Heights, IL 60411-2463 | 2019-11-04 |
| 1760040554 | Morgan Meyers | Counselor | 450 W 14th St, Chicago Heights, IL 60411-2463 | 2019-06-05 |
| 1083272884 | Jordan Deyoung | Counselor | 450 W 14th St, Chicago Heights, IL 60411-2463 | 2019-06-05 |
| 1629558283 | Erin Fuller Jones | Counselor | 450 W 14th St, Chicago Heights, IL 60411-2463 | 2018-08-14 |
| 1396225967 | Lurenzo Carr | Counselor | 1236 Ashland Ave, Chicago Heights, IL 60411-2544 | 2018-08-14 |
| 1952881526 | Dion Jefferson | Counselor | 450 W 14th St, Chicago Heights, IL 60411-2463 | 2018-08-14 |
| 1033699608 | Deana Laster | Counselor | 1236 Ashland Ave, Chicago Heights, IL 60411-2544 | 2018-08-14 |
| Find all providers in CHICAGO HEIGHTS | ||||
| City | CHICAGO HEIGHTS |
| Zip Code | 60411 |
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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.