ANGELA RAE MEDINA
Counselor (Mental Health)

Address: 2456 W 38th St, Chicago, IL 60632-1008

ANGELA RAE MEDINA (NPI# 1225617418) 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) 1225617418
Entity Type Individual
Full Name ANGELA RAE MEDINA
Gender Female
Credential LCPC
Practice Address 2456 W 38th St
Chicago
IL 60632-1008
Practice Telephone 7738237743
Mailing Address Po Box 388750
Chicago
IL 60638-8750
Mailing Telephone 7732667621
Certification Date 2021-04-05
Enumeration Date 2021-04-05
Last Update Date 2021-04-05
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 101YM0800X Counselor
Specialization: Mental Health
180.013465 IL Behavioral Health & Social Service Providers

Office Location

Street Address 2456 W 38TH ST
City CHICAGO
State IL
Zip Code 60632-1008

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427317098 Pilsen Little Village Community Mental Health Center · Pilsen Wellness Center, Inc. Clinic/Center - Mental Health (Including Community Mental Health Center) 2456 W 38th St, Chicago, IL 60632-1008 2012-05-16

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1497814842 Edward Mascorro Dentist 4444 South Archer, Chicago, IL 60632 2006-12-08
1912275462 Dawn Marie Mackessy Pharmacist 5435 S. Kedzie Ave, Chicago, IL 60632 2011-12-12
1265765218 4365 Archer Mri, LLC · Archer Open Mri Clinic/Center - Magnetic Resonance Imaging (MRI) 4365 South Archer Avenue, Chicago, IL 60632 2009-09-09
1003387226 Surecare Pharmacy 2 Inc Pharmacy - Community/Retail Pharmacy 4700 S California Ave, Chicago, IL 60632 2018-12-16
1104474790 Amanda Rose Dirnberger · Amanda Rose Bartelson Nurse Practitioner - Family 3229-43 W. 47th Pl., Chicago, IL 60632 2019-08-28
1538577085 Metrosmiles - Archer Heights Dental Dentist - General Practice 5141 S Cicero Ave, Chicago, IL 60632 2014-07-29
1033494752 Molly Elizabeth Mcdermott Pharmacist District 222-Walgreens, Chicago, IL 60632 2011-10-13
1295968121 Smile Lee Faces Dentist - Pediatric Dentistry 4197 S Archer Ave, Chicago, IL 60632 2009-08-26
1093954075 Sga Youth & Family · Scholarship and Guidance Association Community/Behavioral Health 3152 W 47th St, Chicago, IL 60632 2009-02-13
1922152370 Chandulal M Patel Family Medicine 4074 S Archer Ave, Chicago, IL 60632 2007-01-23
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780267401 Shorter-Taylor Behavior Consulting LLC Counselor - Mental Health 921 S Austin Blvd Fl 2, Chicago, IL 60644-5311 2021-04-30
1629658844 Exhale Counseling LLC Counselor - Mental Health 5646 N Glenwood Ave Apt 2n, Chicago, IL 60660-4563 2021-04-12
1225618408 Elizabeth Mae Borek Counselor - Mental Health 2269 N Kedzie Blvd Apt 1, Chicago, IL 60647-2591 2021-04-12
1194305466 Safe Place Counseling Counselor - Mental Health 400 W 71st St, Chicago, IL 60621-3034 2021-04-12
1407436124 Renewed Mind Counseling LLC Counselor - Mental Health 561 W Diversey Pkwy Ste 214, Chicago, IL 60614-1682 2021-04-08
1235717281 Constance Rochelle Curry Counselor - Mental Health 5645 W Corcoran, Chicago, IL 60644 2021-03-31
1740865088 Rhapsody Behavioral Healthcare Counselor - Mental Health 4012 S Indiana Ave Unit 4n, Chicago, IL 60653-4778 2021-03-17
1407431935 Ann Ramaiya Counselor - Mental Health 909 W Ohio St Unit 17, Chicago, IL 60642-6641 2021-03-16
1023693033 Free Minded Counseling Pllc Counselor - Mental Health 1980 N Milwaukee Ave Apt 421, Chicago, IL 60647-1789 2021-03-11
1417532334 Alexis Kreashko Counselor - Mental Health 2269 N Kedzie Blvd, Chicago, IL 60647-2591 2021-03-11
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Competitor

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City CHICAGO
Zip Code 60632

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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.