| Erin M Bergren, MSED, LCPC, ACS | |
|
5290 Williams Dr, Roscoe, IL 61073-9222 | |
| (262) 607-1234 | |
| Not Available |
| Full Name | Erin M Bergren |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 5290 Williams Dr, Roscoe, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215609797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | 180.010642 (Illinois) | Primary |
| Entity Name | Kathleen E Cox Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821360181 PECOS PAC ID: 3173962339 Enrollment ID: O20240419003186 |
| Mailing Address | Practice Location Address |
|---|---|
| Erin M Bergren, MSED, LCPC, ACS 229 Martin St, Sharon, WI 53585-9617 Ph: (102) 626-0712 | Erin M Bergren, MSED, LCPC, ACS 5290 Williams Dr, Roscoe, IL 61073-9222 Ph: (262) 607-1234 |
Joseph T Marella, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11447 2nd St Ste 9b, Roscoe, IL 61073 Phone: 815-601-4673 Fax: 866-303-8062 | |
Jamie R Wagner, LCPC, LPC, RPT-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 11447 2nd St, Suite 9b, Roscoe, IL 61073 Phone: 815-601-4673 Fax: 866-303-8062 | |
Mrs. Amanda Dee Musfelt, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5290 Williams Dr, Roscoe, IL 61073 Phone: 815-324-0324 | |
Sreeka Bharani, CRC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11447 2nd St, Roscoe, IL 61073 Phone: 815-623-2020 | |
Regino Isidro Sta Cruz Jr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 5290 Williams Dr, Roscoe, IL 61073 Phone: 815-324-0324 | |
Mrs. Allison Diane Braswell, MSW, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 4675 Bluestem Rd, Roscoe, IL 61073 Phone: 815-978-1067 Fax: 779-537-4555 | |
Karen Lakis, MS, NCC, CADC, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11447 2nd St Ste 9b, Roscoe, IL 61073 Phone: 815-601-4673 Fax: 866-303-8062 |