VALERIE WAKEFIELD (NPI# 1912523317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912523317 |
Entity Type | Individual |
Full Name | VALERIE WAKEFIELD |
Practice Address |
14740 Turner Ave Midlothian IL 60445-3660 |
Mailing Address |
17746 Oak Park Ave Tinley Park IL 60477-3936 |
Practice Telephone | 7084896164 |
Mailing Telephone | 7084441012 |
Mailing Fax Number | 7086147831 |
Enumeration Date | 2020-06-22 |
Last Update Date | 2020-06-22 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
Street Address |
14740 TURNER AVE |
City | MIDLOTHIAN |
State | IL |
Zip Code | 60445-3660 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538223128 | Grand Prairie Services | Clinic/Center | 14740 Turner Ave, Midlothian, IL 60445-3660 | 2006-12-20 |
1134740434 | Marcia Mabin | Case Manager/Care Coordinator | 14740 Turner Ave, Midlothian, IL 60445-3660 | 2020-04-28 |
1750910162 | Barbara Sopin | Case Manager/Care Coordinator | 14740 Turner Ave, Midlothian, IL 60445-3660 | 2020-04-07 |
1578059986 | Ayana Owens | Counselor | 14740 Turner Ave, Midlothian, IL 60445-3660 | 2018-07-09 |
1033527122 | Dante Barnes | Behavioral Analyst | 14740 Turner Ave, Midlothian, IL 60445-3660 | 2014-08-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861911398 | Paula Marie Jensen Hallahan | Psychologist | Hermansen Elementary School, 101 Wesglen Parkway, Romeoville, IL 60445 | 2017-09-15 |
1861933756 | Reginald Castillo | Emergency Medical Technician, Paramedic | 4939 East Circle Dr. #206, Crestwood, IL 60445 | 2017-03-13 |
1801259684 | Bruce Frank Leo | Hearing Instrument Specialist | 5553 W. 127th St, Crestwood, IL 60445 | 2016-03-30 |
1801291687 | Annie Eyer | Behavioral Analyst | 4942 138th Place, Crestwood, IL 60445 | 2014-10-23 |
1679997266 | Phoenix Behavioral Services, Inc | Case Management | 4649 147th Street, Midlothian, IL 60445 | 2014-02-18 |
1841537149 | Lacy Carol Little | Speech-Language Pathologist | 14715 Leclaire Ave., Midlothian, IL 60445 | 2013-01-08 |
1164709291 | Kathleen Chaudhari | Pharmacist | 4800 W 148th Street, Midlothian, IL 60445 | 2011-11-03 |
1063715498 | Amanda Rea Bird | Behavioral Analyst | 5415 129th Pl, Apt 4, Crestwood, IL 60445 | 2010-12-07 |
1831376615 | Plaza Nursing & Rehab Center, LLC | Durable Medical Equipment & Medical Supplies | 3249 W 147th St, Midlothiian, IL 60445 | 2008-01-24 |
1154475630 | Kevin Martin Bargamian | Dentist | 13549 South Cicero Avenue, Crestwood, IL 60445 | 2007-01-22 |
Find all providers in zip 60445 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992304562 | Katrena Lashawn Ready | Counselor | 2521 Trotters Ln Apt 203-7, Midlothian, VA 23113-1490 | 2020-10-23 |
1962011254 | Kristen Marie Joback | Counselor | 14701 Collington Turn, Midlothian, VA 23112-1584 | 2020-07-23 |
1801436662 | Julie Fletcher | Counselor | 6601 Woodlake Village Pkwy, Midlothian, VA 23112-2266 | 2020-01-09 |
1134776370 | Integrity Counseling & Wellness, LLC | Counselor | 1700 Huguenot Rd Ste 2c, Midlothian, VA 23113-2397 | 2019-08-22 |
1144880022 | Rachael Munoz Stanphill | Counselor | 4250 Morgans Way, Midlothian, TX 76065-7097 | 2019-06-13 |
1225594922 | Southern Change Behavioral Health Services | Counselor | 1924 Walmart Way, Midlothian, VA 23113-2692 | 2019-02-18 |
1184138448 | Virginia Medical & Therapeutic Services | Counselor | 13540 E Boundary Rd, Midlothian, VA 23112 | 2017-11-24 |
1730633652 | Kelly Marie Starbuck | Counselor | 14410 Sommerville Ct Ste 101, Midlothian, VA 23113-6813 | 2016-08-09 |
1063892305 | Melissa Baranowski | Counselor | 3712 148th St, Midlothian, IL 60445-3518 | 2015-06-02 |
1811310261 | D Thomas Tipp Lcsw | Counselor | 9511 Hull Street Road, Midlothian, VA 23112-3407 | 2014-01-21 |
Find all providers in MIDLOTHIAN |
City | MIDLOTHIAN |
Zip Code | 60445 |
Please comment or provide details below to improve the information on VALERIE WAKEFIELD.
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.