CENTER FOR AUTHENTIC LIVING, INC. (NPI# 1972142198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972142198 |
| Entity Type | Organization |
| Organization Name | CENTER FOR AUTHENTIC LIVING, INC. |
| Practice Address |
120 Main Street Suite 200 Park Ridge IL 60068 |
| Practice Telephone | 8476684869 |
| Practice Fax Number | 8477285313 |
| Mailing Telephone | 8476684869 |
| Mailing Fax Number | 8477285313 |
| Enumeration Date | 2020-01-06 |
| Last Update Date | 2020-01-06 |
| Authorized Official Name | MARY M SCHNITZIUS-RICHKO (PRESIDENT) |
| Authorized Official Telephone | 8476684869 |
| 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 |
120 MAIN STREET SUITE 200 |
| City | PARK RIDGE |
| State | IL |
| Zip Code | 60068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861010720 | Caitlin Marie Kompanowski | Dentist | 412 W. Talcott, Park Ridge, IL 60068 | 2020-07-08 |
| 1306312152 | Maryann Almores Devilla | Physical Medicine & Rehabilitation | Sunrise Assisted Living, 1725 Ballard Road, Park Ridge, IL 60068 | 2018-10-19 |
| 1053808857 | Landon Ginsberg | Student in an Organized Health Care Education/Training Program | 1775 Ballard, Park Ridge, IL 60068 | 2018-04-17 |
| 1255828448 | Vera W Brink | Obstetrics & Gynecology | Parkside Professional Center, 1875 Dempster St., Ste. 330, Park Ridge, IL 60068 | 2018-04-13 |
| 1205367448 | Courtney Heim | Psychiatry & Neurology | 1875 W.dempster Street - Park Side Professional Center, Ste 470, Park Ridge, IL 60068 | 2017-03-21 |
| 1720521362 | Alexander Mylonas | Psychologist | 1400 Renaissance Dr Ste 401, Park Ridge, IL 60068 | 2016-11-30 |
| 1376090878 | Rebecca Rajasekhar | Audiologist | 1030 W. Higgins Rd., Audiology Room 6, Park Ridge, IL 60068 | 2016-09-01 |
| 1164818449 | Mohammad Taha Mustaf Taha Mustafa Sheikh | Student in an Organized Health Care Education/Training Program | 1550 North Northwest Highway Suite 107, L.m. Prasad, Md, Sc, Park Ridge, IL 60068 | 2015-04-13 |
| 1518397918 | Megan Roberts | Speech-Language Pathologist | 2240 Campus Dr., Evanston, IL 60068 | 2013-11-21 |
| 1114359601 | Kimberly Ann Jastremski | Speech-Language Pathologist | 508 N. Greenwood Ave, Park Ridge, IL 60068 | 2013-08-06 |
| Find all providers in zip 60068 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104461482 | Lindsay Ann Fleming | Counselor | 36 Main St Ste 107, Park Ridge, IL 60068-4059 | 2019-11-11 |
| 1518413277 | Jennifer Graus | Counselor | 542 Busse Hwy, Park Ridge, IL 60068-3144 | 2016-08-31 |
| 1275893547 | Janice Georgallas | Counselor | 139 Ashley Pl, Park Ridge, NJ 07656-2608 | 2012-05-21 |
| 1669620787 | Karyn Roggatz Ness | Counselor | 5 W. Belle Plaine, Park Ridge, IL 60068 | 2008-09-03 |
| 1508040692 | Nancy L Vogg | Counselor | 325 Grand Blvd, Park Ridge, IL 60068-3430 | 2007-12-26 |
| 1104943174 | Kerry J Devries | Counselor | 1580 N Northwest Hwy Ste 125, Park Ridge, IL 60068-1470 | 2007-03-23 |
| 1770513590 | Louise M Foy | Counselor | 1610 Luther Ln, Park Ridge, IL 60068-1243 | 2006-07-04 |
| 1902411937 | Main Street Counseling Solutions LLC | Counselor | 36 Main St Ste 107, Park Ridge, IL 60068-4059 | 2020-09-15 |
| 1194330241 | Adrienne Waters Main | Counselor | 36 Main St Ste 107, Park Ridge, IL 60068-4059 | 2020-09-14 |
| 1760093934 | Caitlin Ruby Miller | Counselor | 1440 Renaissance Dr Ste 440, Park Ridge, IL 60068-1414 | 2020-08-12 |
| Find all providers in PARK RIDGE | ||||
| City | PARK RIDGE |
| Zip Code | 60068 |
Please comment or provide details below to improve the information on CENTER FOR AUTHENTIC LIVING, 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.