CASSANDRA GENNUSO
Counselor

Address: 2424 W Peterson Ave, Chicago, IL 60659-4100

CASSANDRA GENNUSO (NPI# 1134732886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134732886
Entity Type Individual
Full Name MS. CASSANDRA GENNUSO
Gender Female
Credential LCPC
Practice Address 2424 W Peterson Ave
Chicago
IL 60659-4100
Practice Telephone 8005975077
Mailing Address 3831 N Central Park Ave # 1
Chicago
IL 60618-4102
Mailing Telephone 7164810017
Certification Date 2020-08-20
Enumeration Date 2020-08-24
Last Update Date 2020-08-24
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 101Y00000X Counselor 193400000X SINGLE SPECIALTY GROUP 180011580 IL Behavioral Health & Social Service Providers

Office Location

Street Address 2424 W PETERSON AVE
City CHICAGO
State IL
Zip Code 60659-4100

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568699346 Elizabeth M.p. Nguyen Family Medicine 2424 W Peterson Ave, Chicago, IL 60659-4100 2009-06-18
1356425755 Anna Bunploog-Lane · Anna Bunploog Pediatrics 2424 W Peterson Ave, Chicago, IL 60659-4100 2006-10-24
1184165516 Mary Kim Dentist 2424 W Peterson Ave, Chicago, IL 60659-4100 2017-03-18
1174874788 Asian Human Services Family Health Center Clinic/Center - Community Health 2424 W Peterson Ave, Chicago, IL 60659-4100 2012-09-21
1366835290 Srimayi Andal Devulapalli Counselor - Professional 2424 W Peterson Ave, Chicago, IL 60659-4100 2015-03-17
1336451079 Asian Human Services, Inc. · Asian Human Services of Chicago, Inc Community/Behavioral Health 2424 W Peterson Ave, Chicago, IL 60659-4100 2010-07-10
1164439279 Asian Human Services Family Health Center, Inc. Clinic/Center - Federally Qualified Health Center (FQHC) 2424 W Peterson Ave, Chicago, IL 60659-4100 2006-08-02
1497836142 Maximo Bermudez Family Medicine 2424 W Peterson Ave, Suite 200, Chicago, IL 60659-4100 2006-10-18
1609094044 Sanjna Das Social Worker - Clinical 2424 W Peterson Ave, Chicago, IL 60659-4100 2007-04-23
1720333974 Khushbu Shah Dentist 2424 W Peterson Ave, Chicago, IL 60659-4100 2012-07-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003025438 Ayesha Hussain Family Medicine 2424 W. Peterson Ave, Chicago, IL 60659-4100 2007-05-22

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1508410069 Kara Lyn Anderson Counselor - Mental Health 2551 W. Peterson Ave, Chicago, IL 60659 2019-08-01
1881861607 Lincoln Dental Family Center Dentist - General Practice 5643 N Fairfield, Chicago, IL 60659 2008-05-12
1063758068 New Age Home Health Home Health 3601 W. Devon Ave, # 108, Chicago, IL 60659 2012-12-19
1083054621 Rebecca Schnell Speech-Language Pathologist 6124 N Saint Louis Ave, Chicago, IL 60659 2013-06-27
1689029050 Soulu · Madraigos Midwest Social Worker - Clinical 3557 W Peterson Ave #122, Chicago, IL 60659 2016-05-04
1043811425 Devon Homecare Physicians Inc. Family Medicine - Adult Medicine 2822 W. Granville Ave. Apt 1, Chicago, IL 60659 2020-11-03
1174785273 Mba Dental Office PC Dentist - General Practice 3034 W Devon Ave, Ste #202, Chicago, IL 60659 2008-06-30
1265784151 Van Anh Nguyen Dental Hygienist 6074 N Troy St., Chicago, IL 60659 2012-10-03
1326372780 Syiha Ltd Psychiatry & Neurology - Child & Adolescent Psychiatry 6321 N Leavitt, Apt 1n, Chicago, IL 60659 2009-10-01
1932724200 Tatyana Menaker Nurse Practitioner - Adult Health 2958 West Devon Ave, Chicago, IL 60659 2020-06-12
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447820766 Nicole Glass Counselor 420 E Ohio St Apt 14c, Chicago, IL 60611-4651 2021-06-29
1093385569 Keila Pope Counselor 3708 N Ashland Ave, Chicago, IL 60613-5272 2021-06-28
1790352888 Rebecca Ebben Counselor 1616 N Damen Ave Ste 301, Chicago, IL 60647-5536 2021-06-07
1912573494 Elizabeth Quinn Davis Counselor 155 N Michigan Ave Ste 444, Chicago, IL 60601-7511 2021-06-03
1285209098 Charlene Mack Counselor 47 W Division St Ste 211, Chicago, IL 60610-2954 2021-05-24
1033793757 Traci Patterson Lcpc Cadc Pllc · Intuitive Therapy Chicago Counselor 203 N La Salle St Ste 2100, Chicago, IL 60601-1226 2021-05-09
1013590215 Falechia N Turman Counselor 5080 N Elston Ave, Chicago, IL 60630-2459 2021-05-04
1538741780 Jameelah Brown-Williams Counselor 2500 W 111th St Apt 1s, Chicago, IL 60655-1301 2021-04-27
1457937542 Jamila Ford Counselor 5425 W Van Buren St, Chicago, IL 60644-4745 2021-03-20
1124603857 Liana Ramon Counselor 1525 E 53rd St Ste 1009, Chicago, IL 60615-4547 2021-03-15
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Dataset Information

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.