Dana Lynn Baker, LCPC | |
3015 Village Office Pl # B, Champaign, IL 61822-7674 | |
(217) 239-6085 | |
(217) 356-7964 |
Full Name | Dana Lynn Baker |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 3015 Village Office Pl # B, Champaign, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508300740 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 178.012562 (Illinois) | Secondary |
101YP2500X | Counselor - Professional | 180.012875 (Illinois) | Primary |
Entity Name | Champaign Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770938359 PECOS PAC ID: 9335429232 Enrollment ID: O20161212001745 |
Mailing Address | Practice Location Address |
---|---|
Dana Lynn Baker, LCPC 2501 Southwood Dr, Champaign, IL 61821-5720 Ph: (847) 915-8654 | Dana Lynn Baker, LCPC 3015 Village Office Pl # B, Champaign, IL 61822-7674 Ph: (217) 239-6085 |
Staci Poe, Counselor Medicare: Not Enrolled in Medicare Practice Location: 44 E Main St, Ste 406, Champaign, IL 61820 Phone: 217-398-9066 Fax: 217-398-9077 | |
Marie Duffin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 701 Devonshire Dr Ste B16-18, Champaign, IL 61820 Phone: 217-531-2360 | |
Laura Green, LSW Counselor Medicare: Medicare Enrolled Practice Location: 201 W Springfield Ave, Champaign, IL 61820 Phone: 217-693-4918 | |
Jennifer Carleton, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 411 Devonshire Dr, Champaign, IL 61820 Phone: 217-904-3035 | |
Rachel Cooper Brown, MS, LPC Counselor Medicare: Medicare Enrolled Practice Location: 309 W Clark St, Champaign, IL 61820 Phone: 217-398-9066 Fax: 217-398-9077 | |
Whitley Tate, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2104 Windsor Pl Ste A, Champaign, IL 61820 Phone: 217-552-1058 Fax: 855-848-7422 | |
Ms. Johanna Hermina Willemse, BA, MHP Counselor Medicare: Medicare Enrolled Practice Location: 202 W Park Ave, Champaign, IL 61820 Phone: 217-373-2436 |