CISCO THERAPEUTIC SERVICES, INC. (NPI# 1912917725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912917725 |
| Entity Type | Organization |
| Organization Name | CISCO THERAPEUTIC SERVICES, INC. |
| Other Organization Name | KRIS CISCO |
| Practice Address |
1520 N Rock Run Dr Suite 30a Crest Hill IL 60435-3153 |
| Practice Telephone | 8157413009 |
| Practice Fax Number | 8157418322 |
| Mailing Telephone | 8157413009 |
| Mailing Fax Number | 8157418322 |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. KRIS CISCO (OWNER) |
| Authorized Official Telephone | 8157413009 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS OF IL PROVIDER # | 09932284 | 01 |
| Other Name | Type Code |
|---|---|
| Kris Cisco | Doing Business As Name - Organization |
| Street Address |
1520 N ROCK RUN DR SUITE 30A |
| City | CREST HILL |
| State | IL |
| Zip Code | 60435-3153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285923797 | Annette M Nigro | Counselor | 1520 N Rock Run Dr, Suite 30a, Crest Hill, IL 60403-3153 | 2011-04-05 |
| 1114240108 | Dawn L Thielemann | Counselor | 1520 N Rock Run Dr, Suite 22, Crest Hill, IL 60403-3153 | 2010-03-05 |
| 1184840837 | Jose Andres Baltazar | Counselor | 1520 N Rock Run Dr, Suite 22, Crest Hill, IL 60435-3153 | 2007-04-18 |
| 1821114794 | Associates In Counseling & Psychotherapy, Inc | Social Worker | 1520 N Rock Run Dr, Suite 22, Crest Hill, IL 60435-3153 | 2007-03-22 |
| 1992821946 | Glenda Marie Blakemore | Social Worker | 1520 N Rock Run Dr, Suite 22, Crest Hill, IL 60435-3153 | 2007-03-21 |
| 1720114499 | Donna G. Carver | Optometrist | 1520 N Rock Run Dr, Suite 2, Crest Hill, IL 60403-3153 | 2007-02-26 |
| 1346399888 | Holbert Watson | Counselor | 1520 N Rock Run Dr, Suite 22, Crest Hill, IL 60435-3153 | 2007-01-10 |
| 1508915182 | Timothy Allen Pavlich | Counselor | 1520 N Rock Run Dr, Suite 22, Crest Hill, IL 60435-3153 | 2007-01-10 |
| 1821147380 | Gina Marie Zito | Counselor | 1520 N Rock Run Dr, Suite 22, Crest Hill, IL 60435-3153 | 2007-01-10 |
| 1730238205 | Aimee Byrne | Counselor | 1520 N Rock Run Dr, Suite 22, Crest Hill, IL 60435-3153 | 2007-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851889018 | Chime Ajiere | Nurse Practitioner | 511 Theodore St, Joliet, IL 60435 | 2018-04-24 |
| 1740791284 | Melanie Presnak | Speech-Language Pathologist | 1207 N Larkin Ave, Joliet, IL 60435 | 2017-10-23 |
| 1831618883 | Jeriel Marsena Quarles | Licensed Practical Nurse | 1617 W Jefferson Street, Joliet, IL 60435 | 2017-09-11 |
| 1053769760 | Cody Hutchinson | Physical Therapy Assistant | 2943 W Jefferson St, Joliet, IL 60435 | 2016-06-03 |
| 1659748549 | Megan Ryab | Massage Therapist | 501 Wilcox St, Joliet, IL 60435 | 2015-08-26 |
| 1922416197 | Kodo Care, Inc. | Pharmacy | 221 Springfield Avenue, Suite A, Joliet, IL 60435 | 2014-07-31 |
| 1528489739 | My Family Doc LLC | Family Medicine | 2001-03 Essington Rd, Joliet, IL 60435 | 2013-12-16 |
| 1184973869 | R A Lombardi Dds PC | Dentist | 3011 Theodore St., Joliet, IL 60435 | 2012-09-10 |
| 1245546076 | Kelly Rae Lesemann | Chiropractor | 1011 Essington Road, Joliet, IL 60435 | 2010-08-31 |
| 1932413697 | Ann E Todd | Optometrist | 1521 Essington Road, Everything In Sight, Joliet, IL 60435 | 2010-08-04 |
| Find all providers in zip 60435 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962640870 | Mary A Davis | Social Worker | 2430 Plainfield Rd Ste 2d, Crest Hill, IL 60403-1467 | 2009-01-30 |
| 1982965539 | Duncan William Hall | Social Worker | 16151 Weber Rd, Suite 101, Crest Hill, IL 60403-0863 | 2012-05-30 |
| 1821114794 | Associates In Counseling & Psychotherapy, Inc | Social Worker | 1520 N Rock Run Dr, Suite 22, Crest Hill, IL 60435-3153 | 2007-03-22 |
| 1992821946 | Glenda Marie Blakemore | Social Worker | 1520 N Rock Run Dr, Suite 22, Crest Hill, IL 60435-3153 | 2007-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851241 | Courtney A Behrens | Social Worker | 150 Deerpath Rd, Algonquin, IL 60102-1861 | 2020-11-06 |
| 1801497623 | Sedulous Counseling & Consulting Services Pllc | Social Worker | 15255 S 94th Ave # 508, Orland Park, IL 60462-3800 | 2020-11-06 |
| 1295336022 | Web Healing Collective Pllc | Social Worker | 6207 N Springfield Ave, Chicago, IL 60659-1015 | 2020-11-06 |
| 1174124036 | Reginald Washington Edwards | Social Worker | 18660 Walnut Ave, Country Club Hills, IL 60478-5549 | 2020-11-05 |
| 1881295186 | Belva Marie Dibert | Social Worker | 6330 S Ingleside Ave Apt 3, Chicago, IL 60637-5784 | 2020-11-03 |
| 1801496468 | Monica Dushane | Social Worker | 125 N Buffalo Grove Rd Apt 110, Buffalo Grove, IL 60089-1722 | 2020-10-31 |
| 1528668373 | Stephanie Caballero Novak | Social Worker | Life Care Wellness, Inc., 800 Roosevelt Rd Building C Suite 206, Glen Ellyn, IL 60137 | 2020-10-30 |
| 1598365488 | Karyssa Lee Haase | Social Worker | 745 E Court St, Paris, IL 61944-2460 | 2020-10-29 |
| 1699375592 | Andrea Doherty | Social Worker | 526 Keystone Ave, River Forest, IL 60305-1612 | 2020-10-29 |
| 1861092835 | Lauren Less | Social Worker | 111 East Pearson St, Chicago, IL 60611 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
| City | CREST HILL |
| Zip Code | 60435 |
Please comment or provide details below to improve the information on CISCO THERAPEUTIC SERVICES, INC..
| 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.