Padera Therapy And Wellness

LBN: Kristin Padera Ma Lcpc Inc.
Padera Therapy And Wellness is an health care organization with primary practice located at 1131 Wheaton Oaks Ct , Wheaton IL 60187-3181. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty. Kristin Padera Ma Lcpc Inc. can be contacted via phone (630) 940-6828, or through Padera, Kristin Georgianne via phone (630) 940-9628.

Contact Information

Primary practice address
1131 Wheaton Oaks Ct Wheaton IL 60187-3181
Phone: (630) 940-6828
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Padera, Kristin Georgianne MA LCPC
Phone: (630) 940-9628

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 180.010302 Illinois
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 180.010302 Illinois
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1174047138
LBN Legal business name Kristin Padera Ma Lcpc Inc.
DBA Doing business as Padera Therapy And Wellness
Authorized official Padera, Kristin Georgianne MA LCPC
Entity Organization
Organization subpart 1 No
Enumeration date Aug 1st, 2017
Last updated Dec 5th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174047138 NPPES
Illinois MEDICAID 1700501962
Illinois MEDICAID 1902404650
Illinois MEDICAID 1932685732
Illinois MEDICAID 1023550282
Illinois MEDICAID 1114323359
Illinois MEDICAID 1528795739
Illinois MEDICAID 1962127019

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