Bethany Vanne, LCPC | |
3716 W Brighton Ave, Peoria, IL 61615-2938 | |
(309) 692-7755 | |
(309) 692-2262 |
Full Name | Bethany Vanne |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 3716 W Brighton Ave, Peoria, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942557525 | NPI | - | NPPES |
1245454313 | Other | IL | NPI - GROUP - JOHN R. DAY AND ASSOCIATES |
371154942 | Other | IL | TEIN - TAX IDENTIFICATION NUMBER FOR EMPLOYER |
366380 | Other | IL | MEDICARE, PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 180.008327 (Illinois) | Primary |
Entity Name | Bethany Vanne Counseling, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679204408 PECOS PAC ID: 5092150078 Enrollment ID: O20240229001569 |
Mailing Address | Practice Location Address |
---|---|
Bethany Vanne, LCPC 3716 W Brighton Ave, Peoria, IL 61615-2938 Ph: (309) 692-7755 | Bethany Vanne, LCPC 3716 W Brighton Ave, Peoria, IL 61615-2938 Ph: (309) 692-7755 |
Ms. Debra Fay Disney, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7617 N Villa Wood Ln, Peoria, IL 61614 Phone: 309-693-8200 | |
Julie Kristine Peters, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2000 W Pioneer Pkwy Ste 14, Peoria, IL 61615 Phone: 309-550-1001 | |
Mrs. Linda L Zears, MS LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3716 W Brighton Ave, Peoria, IL 61615 Phone: 309-692-7755 Fax: 309-692-2262 | |
Mrs. Tamara Marie Lott, LCPC, CRC Counselor Medicare: Medicare Enrolled Practice Location: 515 Ne Glen Oak Ave Ste 101, Osf Saint Francis Medical Center, Peoria, IL 61603 Phone: 309-655-7795 Fax: 309-655-4609 | |
Dr. Michael S Shear, PSY.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 456 Fulton St, Suite 101, Peoria, IL 61602 Phone: 309-673-9385 Fax: 309-673-9446 | |
Mrs. Sandra Susan Cross, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 2522 W Stronehenge Ct, Peoria, IL 61615 Phone: 309-264-9517 | |
Mrs. Donna Jaree Brooks, MA LCPC Counselor Medicare: Medicare Enrolled Practice Location: 3716 W Brighton Ave, Peoria, IL 61615 Phone: 309-692-7755 Fax: 309-692-2262 |