MICHAEL DAVID STATE (NPI# 1992346019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992346019 |
| Entity Type | Individual |
| Full Name | MICHAEL DAVID STATE |
| Credential | L.P.C. |
| Practice Address |
310 W Chicago Ave Chicago IL 60654-5106 |
| Practice Telephone | 3129436545 |
| Practice Fax Number | 3129436530 |
| Mailing Telephone | 3129436545 |
| Mailing Fax Number | 3129436530 |
| Enumeration Date | 2019-09-30 |
| Last Update Date | 2019-09-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
178.014149 | IL | Behavioral Health & Social Service Providers |
| Street Address |
310 W CHICAGO AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60654-5106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124102611 | Family Guidance Centers, Inc. | Clinic/Center | 310 W Chicago Ave, Chicago, IL 60654-5106 | 2006-10-24 |
| 1669013843 | Brian J Fagan | Counselor | 310 W Chicago Ave, Chicago, IL 60654-5106 | 2019-09-30 |
| 1548801780 | Sophia Hountalas | Counselor | 310 W Chicago Ave, Chicago, IL 60654-5106 | 2019-09-30 |
| 1609427848 | Chelsea Hope Dowling | Counselor | 310 W Chicago Ave, Chicago, IL 60654-5106 | 2019-09-27 |
| 1437700689 | Rachel Etshokin | Counselor | 310 W Chicago Ave, Chicago, IL 60654-5106 | 2019-09-27 |
| 1255982401 | Chelsea Belinsky | Counselor | 310 W Chicago Ave, Chicago, IL 60654-5106 | 2019-09-27 |
| 1285285445 | Anya Ravitz | Counselor | 310 W Chicago Ave, Chicago, IL 60654-5106 | 2019-09-27 |
| 1356810477 | Johanna Jelenek | Counselor | 310 W Chicago Ave, Chicago, IL 60654-5106 | 2018-11-19 |
| 1972098408 | Gregory James Kulik | Counselor | 310 W Chicago Ave, Chicago, IL 60654-5106 | 2018-06-27 |
| 1780172536 | Sarah Pepper | Counselor | 310 W Chicago Ave, Chicago, IL 60654-5106 | 2018-04-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912523564 | Male-order Men's Health LLC | Pharmacy | 710 N. Dearborn St., Chicago, IL 60654 | 2020-06-19 |
| 1669014924 | Tanner John Magee | Chiropractor | 415 N. Lasalle St., Suite 605, Chicago, IL 60654 | 2019-10-08 |
| 1144873886 | Fraeda Friedman | Social Worker | 451 N Lasalle Dr, Chicago, IL 60654 | 2019-07-22 |
| 1568024040 | Robin Elizabeth Miller | Dietitian, Registered | 770 North Lasalle Street, Suite 800, Chicago, IL 60654 | 2019-07-03 |
| 1487115804 | Ontario Street Operatory Fac | Clinic/Center | 22 W Ontario Street Operatory, Chicago, IL 60654 | 2019-03-28 |
| 1134697683 | Ghazal Kermani | Dentist | 350 North Clark Street, Suite 600, Chicago, IL 60654 | 2018-11-02 |
| 1225516842 | Tyler Jonathan Hinkel | Radiology | 33 W Ontario St Apt 46f, Chicago, IL 60654 | 2018-08-06 |
| 1710495312 | Mia Zarlengo | Dietitian, Registered | 770 N Lasalle Dr, 800, Chicago, IL 60654 | 2018-01-17 |
| 1568970341 | Kelly Lyons | Acupuncturist | 770 N Lasalle St., Suite 800, Chicago, IL 60654 | 2018-01-16 |
| 1407367568 | Amy Mcnicholas | Counselor | 721 N Lasalle, Chicago, IL 60654 | 2017-10-17 |
| Find all providers in zip 60654 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1003413378 | Erika Aguirre | Counselor | 5040 S Keating Ave., Chicago, IL 60632-4919 | 2020-10-08 |
| 1497361661 | Michael V Biederman | Counselor | 4254 N Mozart St Apt 2s, Chicago, IL 60618-1784 | 2020-09-22 |
| 1013523984 | Antionette Fisher | Counselor | 5703 S Peoria St, Chicago, IL 60621-2262 | 2020-09-16 |
| 1114532561 | Nefesh Counseling, LLC | Counselor | 3320 W Foster Ave # 124, Chicago, IL 60625-4813 | 2020-09-12 |
| 1114531043 | Katherine E Evans | Counselor | 1528 W Jonquil Ter Unit 2c, Chicago, IL 60626-5932 | 2020-09-08 |
| Find all providers in CHICAGO | ||||
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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.