NICASA, NFP (NPI# 1851715205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851715205 |
| Entity Type | Organization |
| Organization Name | NICASA, NFP |
| Practice Address |
1113 W Greenwood Ave Waukegan IL 60087-4908 |
| Mailing Address |
31979 N Fish Lake Rd Round Lake IL 60073-9517 |
| Practice Telephone | 8472444434 |
| Practice Fax Number | 8475466760 |
| Mailing Telephone | 8475466450 |
| Mailing Fax Number | 8475466760 |
| Enumeration Date | 2014-02-05 |
| Last Update Date | 2014-02-05 |
| Authorized Official Name | MRS. LINDA SNELTEN (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 8475466450 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | A-0614-0001 | IL | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548674666 | Nicasa, Nfp | Community/Behavioral Health | 1632 23rd St, Zion, IL 60099-2345 | 2014-06-17 |
| 1194149542 | Nicasa, Nfp | Community/Behavioral Health | 1724 1st St, Highland Park, IL 60035-3202 | 2014-02-05 |
| 1841614294 | Nicasa, Nfp | Community/Behavioral Health | 2031 Dugdale Rd, North Chicago, IL 60064-1928 | 2014-02-05 |
| 1700336229 | Nicasa, Nfp | Clinic/Center | 1113 W Greenwood Ave, Waukegan, IL 60087-4908 | 2016-10-07 |
| 1962952499 | Nicasa, Nfp | Clinic/Center | 1724 1st St, Highland Park, IL 60035-3202 | 2016-10-07 |
| 1225588759 | Nicasa, Nfp | Clinic/Center | 2900 N Main St, Buffalo Grove, IL 60089-2717 | 2016-10-07 |
| 1982154407 | Nicasa, Nfp | Clinic/Center | 2031 Dugdale Rd, North Chicago, IL 60064-1928 | 2016-10-07 |
| 1902220353 | Nicasa, Nfp | Community/Behavioral Health | 2900 N Main St, Buffalo Grove, IL 60089-2717 | 2014-02-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NICASA, NFP | 31979 N Fish Lake Rd, Round Lake, IL 60073-9517 |
| Street Address |
1113 W GREENWOOD AVE |
| City | WAUKEGAN |
| State | IL |
| Zip Code | 60087-4908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487135042 | Jamie Gallo-weinstein | Counselor | 1113 W Greenwood Ave, Waukegan, IL 60087-4908 | 2018-08-22 |
| 1700336229 | Nicasa, Nfp | Clinic/Center | 1113 W Greenwood Ave, Waukegan, IL 60087-4908 | 2016-10-07 |
| 1083088256 | Marcos Carrillo | Counselor | 1113 W Greenwood Ave, Waukegan, IL 60087-4908 | 2015-11-25 |
| 1255705414 | Elizabeth Carbonell | Counselor | 1113 W Greenwood Ave, Waukegan, IL 60087-4908 | 2015-11-25 |
| 1871967190 | Laurie Kelly | Counselor | 1113 W Greenwood Ave, Waukegan, IL 60087-4908 | 2015-11-24 |
| 1568836138 | Michael Labellart | Counselor | 1113 W Greenwood Ave, Waukegan, IL 60087-4908 | 2015-11-19 |
| 1356714232 | Pamela Williams | Counselor | 1113 W Greenwood Ave, Waukegan, IL 60087-4908 | 2015-11-02 |
| 1386016673 | Nathaniel Brown | Counselor | 1113 W Greenwood Ave, Waukegan, IL 60087-4908 | 2015-10-26 |
| 1538531991 | Ferlando Mallory | Counselor | 1113 W Greenwood Ave, Waukegan, IL 60087-4908 | 2015-10-26 |
| 1952773319 | Stephanie Escobar | Counselor | 1113 W Greenwood Ave, Waukegan, IL 60087-4908 | 2015-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982268017 | Michael Donavan Wilson | Counselor | 200 North Lewis, Waukegan, IL 60087 | 2019-04-24 |
| 1114412160 | David B Fuentes | Specialist/Technologist | 2904 Wall Ave, Waukegan, IL 60087 | 2018-06-22 |
| 1578912713 | Fulton Family Dental, Ltd. | Dentist | 1308 Sunset Ave., Waukegan, IL 60087 | 2016-06-08 |
| 1902852825 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 3124 N Lewis Ave, Waukegan, IL 60087 | 2006-05-25 |
| 1396723565 | Daram H Reddy Md | Psychiatry & Neurology | 609 Greenwood Ave, Waukegan, IL 60087 | 2006-01-06 |
| 1609200328 | Rosa Margaret Uriostegui | Interpreter | 2117 Edgewood Rd, Waukegan, IL 60087-1442 | 2013-08-29 |
| 1518390871 | Mary Sol Enriquez | Developmental Therapist | 11307 W Edgewood Rd, Beach Park, IL 60087-1526 | 2013-08-09 |
| 1649894130 | Kelly M Ingram | Developmental Therapist | 38229 N North Ave, Beach Park, IL 60087-1662 | 2020-06-01 |
| 1467735209 | Kelly A. Holverson | Speech-Language Pathologist | 38286 N Geraghty Ave, Beach Park, IL 60087-1748 | 2011-09-27 |
| 1487669594 | Walgreen Co | Pharmacy | 39023 N Green Bay Rd, Beach Park, IL 60087-1978 | 2006-07-29 |
| Find all providers in zip 60087 | ||||
| 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 |
|---|---|---|---|---|
| 1710448089 | Chicago Hope Services | Community/Behavioral Health | 430 Cory Ave, Waukegan, IL 60085-4027 | 2019-03-28 |
| 1033666490 | Catholic Charities of The Archdiocese of Chicago | Community/Behavioral Health | 671 S. Lewis Ave., Waukegan, IL 60085 | 2016-09-02 |
| 1265767214 | One Hope United | Community/Behavioral Health | 2115 S Ernie Krueger Cir, Waukegan, IL 60087-4156 | 2009-10-08 |
| 1619146420 | Independence Center | Community/Behavioral Health | 320 N Ash St, Waukegan, IL 60085-3985 | 2008-02-26 |
| 1720290091 | County of Lake | Community/Behavioral Health | 3004 Grand Ave, Waukegan, IL 60085-2321 | 2007-05-07 |
| 1477765741 | County of Lake | Community/Behavioral Health | 2410 Belvidere Rd, Waukegan, IL 60085-6165 | 2007-05-07 |
| 1174745160 | County of Lake | Community/Behavioral Health | 3010 Grand Ave., Waukegan, IL 60085 | 2007-05-02 |
| 1356888515 | County of Lake | Community/Behavioral Health | 3010 Grand Ave, Waukegan, IL 60085-2321 | 2017-01-26 |
| 1093181141 | Truth Youth & Family Services, LLC | Community/Behavioral Health | 2504 Washington St., 300 B/c, Waukegan, IL 60085 | 2015-08-12 |
| 1043690555 | Cognitive Pathways | Community/Behavioral Health | 2504 Washington St, Suite 403, Waukegan, IL 60085-4983 | 2015-06-01 |
| Find all providers in WAUKEGAN | ||||
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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.