LEAP OF FAITH WELLNESS LLC (NPI# 1922666502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922666502 |
| Entity Type | Organization |
| Organization Name | LEAP OF FAITH WELLNESS LLC |
| Practice Address |
3663 W Church Rd Beecher IL 60401-3501 |
| Practice Telephone | 7735984532 |
| Mailing Telephone | 7735984532 |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2019-05-30 |
| Authorized Official Name | KRISTEN MARIE SCOTT (FOUNDER, EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7735984532 |
| Authorized Official Credential | LCPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Street Address |
3663 W CHURCH RD |
| City | BEECHER |
| State | IL |
| Zip Code | 60401-3501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922612480 | Jamie Marting | Marriage & Family Therapist | 3663 W Church Rd, Beecher, IL 60401-3501 | 2020-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316148216 | Beecher Community Unit School District 200u | Local Education Agency (LEA) | 538 Miller, Beecher, IL 60401 | 2007-05-29 |
| 1881779049 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 1277 Dixie Highway, Beecher, IL 60401 | 2006-10-26 |
| 1609819697 | Beecher Fire Protection District | Ambulance | 711 Penfield Street, Beecher, IL 60401 | 2006-06-14 |
| 1114073681 | Docs Drugs | Pharmacy Technician | 1277 Dixie Highway, Beecher, IL 60401 | 2007-01-26 |
| 1811126428 | Ann Marie Wyatt | Case Manager/Care Coordinator | 2100 E Corning Rd, Beecher, IL 60401-3079 | 2009-07-06 |
| 1962692962 | Reynaldo Pina | Specialist/Technologist, Other | 30752 S Klemme Rd, Beecher, IL 60401-3149 | 2007-07-26 |
| 1801416888 | Taylor Jean Schrage | Nurse Practitioner | 1825 E Offner Rd, Beecher, IL 60401-3237 | 2020-04-20 |
| 1114049111 | Shane Malecha | Physical Therapist | 1514 Somerset Dr, Beecher, IL 60401-3436 | 2007-04-03 |
| 1134394935 | Tina Marie Van Wyhe | Developmental Therapist | 27410 S Hickory St, Beecher, IL 60401-3497 | 2008-04-23 |
| 1245844455 | Maureen Fogarty | Student in an Organized Health Care Education/Training Program | 3663 W Church Rd Bldg 2, Beecher, IL 60401-3501 | 2020-09-04 |
| Find all providers in zip 60401 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881148286 | Barbara Benn | Counselor | 631 Birch Dr, Beecher, IL 60401-6691 | 2016-08-15 |
| 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 | ||||
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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.