MARY ROBERSON (NPI# 1902296502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902296502 |
| Entity Type | Individual |
| Full Name | MARY ROBERSON |
| Other Name | MARY COLLINS HENDERSON |
| Credential | LCPC, EDD |
| Practice Address |
39385 N Stockton Ln Beach Park IL 60083-3010 |
| Practice Telephone | 8476873504 |
| Mailing Telephone | 8476873504 |
| Enumeration Date | 2015-02-03 |
| Last Update Date | 2015-08-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
180005805 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013332006 | Mary Colleen Roberson | Registered Nurse | 272 Chamberlin Dr, Buffalo, NY 14210-2614 | 2014-02-27 |
| 1992775704 | Mary Kathleen Roberson | Psychologist | 665 Emory Valley Rd, Ste. A, Oak Ridge, TN 37830-7762 | 2006-01-24 |
| 1619500360 | Mary Elizabeth Roberson | Behavior Technician | 5121 Kingdom Way Ste 100, Raleigh, NC 27607-6063 | 2020-02-20 |
| Street Address |
39385 N STOCKTON LN |
| City | BEACH PARK |
| State | IL |
| Zip Code | 60083-3010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003336546 | Lauren Renee Bean | Behavioral Analyst | 18550 W Millburn Rd, Old Mill Creek, IL 60083 | 2017-06-26 |
| 1235594623 | Roberta Jeter | Dental Hygienist | 13146 W Newcastle Ln, Beach Park, IL 60083-3001 | 2015-12-29 |
| 1548624471 | David Londo | Specialist/Technologist | 39400 N Stockton Ln, Beach Park, IL 60083-3011 | 2016-04-06 |
| 1639658883 | Timberly Robinson | Social Worker | 13123 W Yorkshire Ln, Beach Park, IL 60083-3019 | 2018-08-08 |
| 1073140513 | Grishma V. Gandhi | Nurse Practitioner | 13100 W Yorkshire Ln, Beach Park, IL 60083-3020 | 2020-03-25 |
| 1699822460 | Allison Sheridan Myers | Speech-Language Pathologist | 12916 W Wakefield Dr, Beach Park, IL 60083-3040 | 2007-01-04 |
| 1548414048 | Sumer Porter | Developmental Therapist | 39649 N Warren Ln, Beach Park, IL 60083-3051 | 2008-11-11 |
| 1841490182 | Mary Ann Wiermanski | Psychologist | 39667 N Warren Lane, Beach Park, IL 60083-3051 | 2007-07-24 |
| 1649413642 | Jennifer Lynn Heuschmidt | Occupational Therapist | 39534 N Queensbury Ln, Beach Park, IL 60083-3055 | 2009-04-07 |
| 1750523072 | We Care Senior Caregiver Services, Inc. | Home Health | 13075 W Bucksburn Ct, Beach Park, IL 60083-3210 | 2009-04-01 |
| Find all providers in zip 60083 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205062593 | Catherine Ann Froman | Counselor | 37131 N Ganster Rd, Beach Park, IL 60087-3162 | 2009-06-01 |
| 1629297098 | Jonathon Eugene Larson | Counselor | 11316 W Wadsworth Rd, Suite 102, Beach Park, IL 60099 | 2007-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457952194 | Hope Kravetz | Counselor | 815 Belinder Ln, Schaumburg, IL 60173-6360 | 2020-11-07 |
| 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 |
| 1831798404 | Erin Frasco | Counselor | 622 Davis St # 200, Evanston, IL 60201-4491 | 2020-10-23 |
| 1568061224 | Alternative Counseling Solutions, Inc | Counselor | 6469 E Mccormick Rd, Stillman Valley, IL 61084-9736 | 2020-10-22 |
| 1396344537 | Janet M Wills | Counselor | 223 N Prospect Ave, Streamwood, IL 60107-4103 | 2020-10-19 |
| 1225637614 | Sharice Ellenwood | Counselor | 1087 N Village Dr, Round Lake Beach, IL 60073 | 2020-10-18 |
| Find all providers with the same taxonomy | ||||
| City | BEACH PARK |
| Zip Code | 60083 |
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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.