MS. STACEY BURRACK WATSON (NPI# 1972629434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972629434 |
Entity Type | Individual |
Full Name | MS. STACEY BURRACK WATSON |
Credential | LCPC |
Practice Address |
415 W Golf Rd Ste 16 Arlington Heights IL 60005 |
Mailing Address |
415 W Golf Rd Ste 16 Arlington Heights IL 60005-3923 |
Practice Telephone | 8475770904 |
Practice Fax Number | 8475771558 |
Mailing Telephone | 8475770904 |
Mailing Fax Number | 8475771558 |
Enumeration Date | 2007-03-22 |
Last Update Date | 2018-12-05 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
180006108 | IL | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | BCBS | 01635186 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
121 S Wilke Rd, Suite 234, Arlington Heights, IL 600051533 | 8475770904 | 8475771558 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073025110 | Stacey Leann Watson | Speech-Language Pathologist | 1424 Red Dr, Little Elm, TX 75068-3429 | 2017-10-30 |
1871800953 | Stacey L Watson | Licensed Practical Nurse | 6649 W Bancroft St, Apt. 165 U, Toledo, OH 43615-3161 | 2010-09-10 |
1790268225 | Stacey Watson | Registered Nurse | 975 Kingsview Dr Bldg A, Lebanon, OH 45036-9562 | 2018-09-11 |
1255718854 | Stacey Watson | Specialist/Technologist | 3292 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 | 2015-05-04 |
1750622007 | Stacey S Watson | Behavioral Analyst | 3339 Kidd St, North Las Vegas, NV 89032-7737 | 2013-03-12 |
1326315110 | Stacey Lynn Watson | Occupational Therapist | 611 N Main St, Wilber, NE 68465-2500 | 2011-11-21 |
1184762130 | Stacey D Watson | Audiologist | 550 17th Ave, Suite 500, Seattle, WA 98122-5788 | 2007-02-02 |
1003926049 | Stacey Watson | Internal Medicine | 8450 N 32nd St, Richland, MI 49083-9418 | 2006-08-30 |
Street Address |
415 W GOLF RD STE 16 |
City | ARLINGTON HEIGHTS |
State | IL |
Zip Code | 60005 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881624484 | Christopher Watson | Psychologist | 415 W Golf Rd Ste 16, Arlington Heights, IL 60005 | 2006-07-03 |
1588263685 | Dalia S Manjarres Cohen | Psychologist | 415 W Golf Rd Ste 16, Arlington Heights, IL 60005-3923 | 2020-10-20 |
1194289314 | Katherine Mary Beerman | Counselor | 415 W Golf Rd Ste 16, Arlington Heights, IL 60005-3923 | 2019-01-23 |
1770609315 | Northwest Behavioral Health Services, PC | Psychologist | 415 W Golf Rd Ste 16, Arlington Heights, IL 60005-3923 | 2007-03-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033673330 | Salario Senior Care, Inc. | In Home Supportive Care | 1020 S. Arlington Heights Road Ste 1 Nw, Arlington Heights, IL 60005 | 2019-01-31 |
1265922355 | Kathy Pawlusiewicz Dds. Dba Prospect Dental | Dentist | 1120 E. Central Rd., Arlington Heights, IL 60005 | 2018-05-14 |
1316437890 | Darcy L Marr | Orthopaedic Surgery | 3030 Salt Creek Lane, Suite 100, Arlington Heights, IL 60005 | 2018-05-10 |
1679076269 | Patrick O'neill | Specialist/Technologist | 1115 W Francis Dr, Arlington Hts, IL 60005 | 2018-03-09 |
1326556861 | Danielle Marie Frye Hughes | Chiropractor | 825 E Golf Rd Ste 1147, Arlington Heights, IL 60005 | 2018-01-18 |
1568977890 | Nicole L Pollard | Counselor | 121 New Wilke Road, Suite 101, Arlington Heights, IL 60005 | 2017-12-08 |
1477062701 | New Family Dental | Dentist | 1768 W Algonqun Rd, Arlington Heights, IL 60005 | 2017-09-29 |
1346775715 | Laura Marie Ipjian | Counselor | 121 S Wilke Rd Ste 232, Arlington Heights, IL 60005 | 2017-04-24 |
1285051615 | Christopher Colby | Student in an Organized Health Care Education/Training Program | 1600 W. Cnetral Rd., Arlington Heights, IL 60005 | 2014-03-24 |
1497181697 | Legacy Medical Care Inc | Clinic/Center | 121 S. Wilke Rd, Suite 600, Arlington Heights, IL 60005 | 2013-09-19 |
Find all providers in zip 60005 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174097406 | Laura Kezdi-hamzeloo, Lcpc | Counselor | 3365 N Arlington Heights Rd Ste L, Arlington Heights, IL 60004-7700 | 2019-01-21 |
1063904951 | Traci Patterson | Counselor | 901 W Kirchhoff Rd # 3s, Arlington Heights, IL 60005-2361 | 2018-06-05 |
1972093078 | Ewa Florczak | Counselor | 3325 N Arlington Heights Rd Ste 400, Arlington Heights, IL 60004-1582 | 2018-05-14 |
1710480850 | Raymundo Bernardo Tad-y Jr. | Counselor | 929 E Golf Rd Apt 4, Arlington Heights, IL 60005-5203 | 2018-03-15 |
1750891735 | Maria Elisabeth Arman | Counselor | 2214 S Goebbert Rd Apt 476, Arlington Heights, IL 60005-4257 | 2017-10-04 |
1457860710 | Courtney Curby Flores | Counselor | 3285 N Arlington Heights Rd Ste 201, Arlington Heights, IL 60004-1564 | 2017-09-29 |
1346775715 | Laura Marie Ipjian | Counselor | 121 S Wilke Rd Ste 232, Arlington Heights, IL 60005 | 2017-04-24 |
1528420254 | Jacqueline Rhew, Lcpc, Ltd | Counselor | 3413 N Kennicott Ave, Suite A, Arlington Heights, IL 60004-7815 | 2016-03-22 |
1619333127 | Buckhout Consulting Company | Counselor | 707 E Thomas St, Arlington Heights, IL 60004-4921 | 2016-01-13 |
1396110698 | Melisa Denham | Counselor | 1002 N Haddow Ave, Arlington Heights, IL 60004-5656 | 2015-12-11 |
Find all providers in ARLINGTON HEIGHTS |
City | ARLINGTON HEIGHTS |
Zip Code | 60005 |
Please comment or provide details below to improve the information on MS. STACEY BURRACK WATSON.
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.