Angel Knoverek, LCPC | |
131 N 4th St, Quincy, IL 62301-2913 | |
(217) 223-7492 | |
(217) 223-7516 |
Full Name | Angel Knoverek |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 131 N 4th St, Quincy, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417242157 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
101YP2500X | Counselor - Professional | 180005002 (Illinois) | Primary |
Entity Name | Mindshift Center, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194331447 PECOS PAC ID: 8325486665 Enrollment ID: O20240404003036 |
Mailing Address | Practice Location Address |
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Angel Knoverek, LCPC 1269 Place Place, Quincy, IL 62301-4219 Ph: (217) 440-6247 | Angel Knoverek, LCPC 131 N 4th St, Quincy, IL 62301-2913 Ph: (217) 223-7492 |
Stacey Samantha Soliman Juilfs, LPC Counselor Medicare: Medicare Enrolled Practice Location: 639 York St Rm 212, Quincy, IL 62301 Phone: 217-222-6271 | |
Mrs. Anne-claire Marie Vahle, MSED Counselor Medicare: Not Enrolled in Medicare Practice Location: 205 S 24th St, Quincy, IL 62301 Phone: 217-222-0034 Fax: 217-222-3865 | |
Janis Lynn Frageman, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 4409 Maine, Quincy, IL 62305 Phone: 217-223-0423 Fax: 217-223-0461 | |
Nicole Antoinette Shields, MS, LCPC, QMHP Counselor Medicare: Medicare Enrolled Practice Location: 1025 Maine St, Quincy, IL 62301 Phone: 217-222-6550 | |
Kathleen Jean Nelson, M.S. ED. Counselor Medicare: Medicare Enrolled Practice Location: 1025 Maine St, Quincy, IL 62301 Phone: 217-222-6550 Fax: 217-277-2253 | |
Martinette Z Douglas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2931 Payson Hts Apt Suite, Quincy, IL 62305 Phone: 773-669-8168 | |
Heidi Muegge, BS, MHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 4409 Maine St, Quincy, IL 62305 Phone: 217-223-0423 Fax: 217-223-0461 |