GRUNDY COUNTY HEALTH DEPARTMENT (NPI# 1912156191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912156191 |
| Entity Type | Organization |
| Organization Name | GRUNDY COUNTY HEALTH DEPARTMENT |
| Practice Address |
1320 Union St Morris IL 60450-2426 |
| Practice Telephone | 8159413400 |
| Practice Fax Number | 8159412389 |
| Mailing Telephone | 8159413400 |
| Mailing Fax Number | 8159412389 |
| Enumeration Date | 2008-09-12 |
| Last Update Date | 2019-08-20 |
| Authorized Official Name | MICHELLE L PRUIM (ADMINISTRATOR) |
| Authorized Official Telephone | 8159413113 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093849481 | Grundy County Health Department | Public Health or Welfare | 1716 Lincoln St, Trenton, MO 64683-1584 | 2007-03-15 |
| 1477686780 | Grundy County Health Department | Clinic/Center | 1320 Union St, Morris, IL 60450-2426 | 2007-03-14 |
| 1649429812 | Grundy County Health Department | Clinic/Center | 1320 Union St, Morris, IL 60450-2426 | 2008-09-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | GRUNDY COUNTY HEALTH DEPARTMENT | 1320 Union St, Morris, IL 60450-2426 |
| Street Address |
1320 UNION ST |
| City | MORRIS |
| State | IL |
| Zip Code | 60450-2426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477686780 | Grundy County Health Department | Clinic/Center | 1320 Union St, Morris, IL 60450-2426 | 2007-03-14 |
| 1235787953 | Vessela Andreeva | Counselor | 1320 Union St, Morris, IL 60450-2426 | 2019-08-27 |
| 1184272908 | Sarah Beth Ezell | Counselor | 1320 Union St, Morris, IL 60450-2426 | 2019-08-27 |
| 1073161899 | Robin Cook | Counselor | 1320 Union St, Morris, IL 60450-2426 | 2019-08-27 |
| 1437707106 | Melissa Wasko | Counselor | 1320 Union St, Morris, IL 60450-2426 | 2019-08-27 |
| 1902453749 | Joann Feldges | Registered Nurse | 1320 Union St, Morris, IL 60450-2426 | 2019-08-26 |
| 1447807284 | Kellie Kennedy | Counselor | 1320 Union St, Morris, IL 60450-2426 | 2019-08-26 |
| 1952958704 | Amber Boeschel | Counselor | 1320 Union St, Morris, IL 60450-2426 | 2019-08-26 |
| 1023665312 | Kayla Stamm | Counselor | 1320 Union St, Morris, IL 60450-2426 | 2019-08-21 |
| 1881081685 | Omar S Waqhar | Psychiatry & Neurology | 1320 Union St, Morris, IL 60450-2426 | 2015-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144691 | Jessica Kubinski | Occupational Therapist | 1051 W, Us-6, Morris, IL 60450 | 2020-11-03 |
| 1922646652 | Anna Doherty | Counselor | Crossroads Counseling Services, 1802 N Division St Suite 509, Morris, IL 60450 | 2019-12-12 |
| 1003353764 | Crossroads Counseling Services, LLC | Community/Behavioral Health | 1802 N Division Street, Suite 509, Morris, IL 60450 | 2017-01-19 |
| 1780128249 | Lori Lynn Peterson | Nurse Practitioner | 8805 N Tabler Road, Health & Wellness Clinic, Morris, IL 60450 | 2016-12-18 |
| 1639613532 | Jodi Lynn Valencia | Licensed Practical Nurse | 114 E. Benton St., Morris, IL 60450 | 2016-12-12 |
| 1184001844 | Ashish G. Suthar | Pharmacist | 1600 West Route 6, Morris, IL 60450 | 2015-05-01 |
| 1255690574 | Tammy S. Zweeres | Nurse Practitioner | 936 W. U.S. Route 6, Morris, IL 60450 | 2012-05-07 |
| 1952682742 | Marie E Monhardt | Nurse Practitioner | 801 So Washington Str, Naperville, IL 60450 | 2011-09-07 |
| 1093024200 | Diane Marie Zuelke | Nurse Practitioner | 1802 N Division St Ste 703, Morris, IL 60450 | 2010-10-05 |
| 1063669182 | Athletic & Therapeutic Institute of Naperville, LLC | Physical Therapist | 201 East U.S. Route 6, Morris, IL 60450 | 2008-08-20 |
| Find all providers in zip 60450 | ||||
| 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 |
|---|---|---|---|---|
| 1003353764 | Crossroads Counseling Services, LLC | Community/Behavioral Health | 1802 N Division Street, Suite 509, Morris, IL 60450 | 2017-01-19 |
| 1124336862 | Prairie Community Services | Community/Behavioral Health | 801 Nevada Ave Ste 100, Morris, MN 56267-1874 | 2010-09-15 |
| 1679964308 | Catholic Charities of The Diocese of Joliet | Community/Behavioral Health | 201 Liberty St, Suite 241, Morris, IL 60450 | 2015-02-17 |
| 1891865564 | Prairie Community Services | Community/Behavioral Health | 801 Nevada Ave, Morris, MN 56267-1865 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820648 | Community Wellness Group | Community/Behavioral Health | 635 Argyle Ave, Flossmoor, IL 60422-1201 | 2020-10-26 |
| 1437758711 | Gina Baldacci, Lcsw, LLC | Community/Behavioral Health | 231 Longridge Dr, Bloomingdale, IL 60108 | 2020-10-19 |
| 1790383610 | Joni Lamb Therapy, LLC | Community/Behavioral Health | 1555 Sherman Ave # 308, Evanston, IL 60201-4421 | 2020-10-13 |
| 1811594906 | Everyday Empowered Clinical Services, Ltd. | Community/Behavioral Health | 5117 Main St, Suite #7, Downers Grove, IL 60515 | 2020-10-02 |
| 1942817150 | Pacem Wellness, LLC | Community/Behavioral Health | 8 Eagle Ctr Ste 12, O Fallon, IL 62269-1947 | 2020-09-30 |
| 1831703271 | Boules Clinical Psychology Group | Community/Behavioral Health | 200 S Frontage Rd Ste 324, Burr Ridge, IL 60527-6953 | 2020-09-02 |
| 1336753896 | Counseling Kennedy Shenberg | Community/Behavioral Health | 5752 N Campbell Ave Apt 1, Chicago, IL 60659-5080 | 2020-09-02 |
| 1265045371 | Brightside Recovery | Community/Behavioral Health | 1667 Belvidere Rd, Belvidere, IL 61008-9306 | 2020-08-28 |
| 1902419021 | Brightside Recovery | Community/Behavioral Health | 8041 186th St Ste B, Tinley Park, IL 60487-9344 | 2020-08-28 |
| 1700498573 | Bobby E. Wright Comprehensive Behavioral Health Center, Inc. | Community/Behavioral Health | 5816 W Division St Fl 1, Chicago, IL 60651-1003 | 2020-08-21 |
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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.