LAYNIE FOUNDATION (NPI# 1932442571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932442571 |
| Entity Type | Organization |
| Organization Name | LAYNIE FOUNDATION |
| Practice Address |
4747 Lincoln Mall Dr Suite 604 Matteson IL 60443-3811 |
| Practice Telephone | 7086178548 |
| Practice Fax Number | 7086178017 |
| Mailing Telephone | 7086178548 |
| Mailing Fax Number | 7086178017 |
| Enumeration Date | 2013-04-02 |
| Last Update Date | 2013-04-02 |
| Authorized Official Name | DR. SUMMER A MATHESON (C.O.O.) |
| Authorized Official Telephone | 7086178548 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 1790076628 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790076628 | Laynie Foundation | Community/Behavioral Health | 4749 Lincoln Mall Dr, Suite 202, Matteson, IL 60443-2348 | 2011-04-26 |
| Street Address |
4747 LINCOLN MALL DR SUITE 604 |
| City | MATTESON |
| State | IL |
| Zip Code | 60443-3811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790795805 | Bnm Professional Consulting Services, Inc. | Physical Therapist | 4747 Lincoln Mall Dr, Suite #302, Matteson, IL 60443-3811 | 2006-08-09 |
| 1669012910 | Olufemi Matimoju | Social Worker | 4747 Lincoln Mall Dr, Matteson, IL 60443-3811 | 2020-01-14 |
| 1285277905 | Shaneika Tolliver | Social Worker | 4747 Lincoln Mall Dr, Matteson, IL 60443-3811 | 2019-10-25 |
| 1013574458 | Angela Maria Cunningham | Social Worker | 4747 Lincoln Mall Dr, Matteson, IL 60443-3811 | 2019-05-21 |
| 1356801856 | Patricia Ann Willis | Counselor | 4747 Lincoln Mall Dr, Matteson, IL 60443-3811 | 2019-03-21 |
| 1366901290 | Amanda Briick | Counselor | 4747 Lincoln Mall Dr, Matteson, IL 60443-3811 | 2019-03-19 |
| 1790239291 | Ollie Owens | Counselor | 4747 Lincoln Mall Dr, Matteson, IL 60443-3811 | 2016-08-12 |
| 1518411016 | Brittany Lampkin | Counselor | 4747 Lincoln Mall Dr, Matteson, IL 60443-3811 | 2016-08-12 |
| 1255885752 | Shanna Walker | Counselor | 4747 Lincoln Mall Dr, 601, Matteson, IL 60443-3811 | 2016-08-12 |
| 1386028835 | The Dubois Douglas Centres | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4747 Lincoln Mall Dr, Suite 301, Matteson, IL 60443-3811 | 2015-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821642497 | Natalie Donyelle Mitchell | Psychologist | 6202 Vollmer Rd Colin Powell Middle School, Elementary Sd 159, Matteson, IL 60443 | 2019-07-31 |
| 1881199909 | Christopher Anthony Smith | Student in an Organized Health Care Education/Training Program | 5660 Woodgate Dr, Matteson, IL 60443 | 2018-03-29 |
| 1336695253 | Renato Leano | Physical Therapist | 21020 Kostner Avenue, Matteson, IL 60443 | 2016-08-31 |
| 1669826657 | Heredeshee Latrice Taylor | Nurse Practitioner | 3201 Holden Cir, Matteson, IL 60443 | 2016-04-16 |
| 1366713125 | Rosanne Miller Tadsen | Counselor | 6201 Vollmer Rd, Matteson, IL 60443 | 2012-01-25 |
| 1598063281 | Sheri Temple | Occupational Therapist | 3906 212th Place, Matteson, IL 60443 | 2011-03-04 |
| 1013247576 | Sheila M. Pijus | Counselor | 336 Tullamore Ter., Matteson, IL 60443 | 2010-01-06 |
| 1962731190 | Benita Yvette Norwoord | Counselor | 600 Holiday Plaza, Matteson, IL 60443 | 2009-12-17 |
| 1386881654 | Reliance Home Health Services, Inc. | Home Health | 4350 W. Lincoln Hwy #210, Reliance Home Health Services, Inc., Matteson, IL 60443 | 2009-01-08 |
| 1518139286 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 5640 211th St., Matteson, IL 60443 | 2008-04-02 |
| Find all providers in zip 60443 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639233174 | Grand Prairie Services | Clinic/Center | 21136 Keeler Ave, Matteson, IL 60443-2242 | 2006-12-20 |
| 1902982127 | Center Services Inc | Clinic/Center | 3624 W 216th Street, Matteson, IL 60443-2713 | 2006-10-31 |
| 1811073034 | Dyann Inc | Clinic/Center | 3624 W 216th Street, Matteson, IL 60443-2713 | 2006-10-31 |
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|---|---|---|---|---|
| 1225639990 | Mindy Forman, Psyd, LLC | Clinic/Center | 1020 Milwaukee Ave Ste 110, Deerfield, IL 60015-3555 | 2020-11-07 |
| 1346840295 | Stopka Professional Counseling LLC | Clinic/Center | 13125 Steeplechase Dr, New Lenox, IL 60451-1320 | 2020-10-29 |
| 1346848785 | Wellness Hearted Therapy LLC | Clinic/Center | 2675 S Cedar Glen Dr, Arlington Heights, IL 60005-5303 | 2020-10-16 |
| 1457959256 | Association for Individual Development | Clinic/Center | 708 N Bridge St, Yorkville, IL 60560-1105 | 2020-10-14 |
| 1285231555 | Association for Individual Development | Clinic/Center | 236 W Crystal Lake Ave, Crystal Lake, IL 60014-5847 | 2020-10-08 |
| 1386241123 | Envision Unlimited | Clinic/Center | 1801 N Spaulding Ave, Chicago, IL 60647-4926 | 2020-10-05 |
| 1881291789 | Jessica Weisbach, LLC | Clinic/Center | 2257 N Kedzie Blvd Apt 3, Chicago, IL 60647-2561 | 2020-10-04 |
| 1619574803 | Envision Unlimited | Clinic/Center | 2124 W 82nd Pl, Chicago, IL 60620-5358 | 2020-10-01 |
| 1144827320 | Envision Unlimited | Clinic/Center | 4919 N Clark St, Chicago, IL 60640-3514 | 2020-10-01 |
| 1194322370 | Envision Unlimited | Clinic/Center | 4911 S Hoyne Ave, Chicago, IL 60609-4721 | 2020-10-01 |
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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.