| Jennifer Annette Hortenstine-grohler, L C P C | |
|
1770 E Lake Shore Dr, Suite #208, Decatur, IL 62521-3832 | |
| (217) 428-1900 | |
| (217) 428-0358 |
| Full Name | Jennifer Annette Hortenstine-grohler |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 1770 E Lake Shore Dr, Decatur, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780807222 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180.001685 (Illinois) | Primary |
| Entity Name | Hoopeston Community Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366480873 PECOS PAC ID: 3577456037 Enrollment ID: O20040210000011 |
| Entity Name | Carle Health Care Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154653947 PECOS PAC ID: 3577515774 Enrollment ID: O20100513000829 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Annette Hortenstine-grohler, L C P C Rr 1 Box 18c, Sullivan, IL 61951-8712 Ph: (217) 728-8848 | Jennifer Annette Hortenstine-grohler, L C P C 1770 E Lake Shore Dr, Suite #208, Decatur, IL 62521-3832 Ph: (217) 428-1900 |
Carrie A Ray, Counselor Medicare: Medicare Enrolled Practice Location: 151 N Main St, Decatur, IL 62523 Phone: 217-362-6262 | |
Robert Lesley Goodwin, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 320 E Central Ave, Decatur, IL 62521 Phone: 217-877-9117 | |
Ms. Linda L Warden-michl, MA, NCC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 132 S Water St, Suite 630, Decatur, IL 62523 Phone: 217-330-6963 | |
Michelle Hanson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 151 N Main St, Decatur, IL 62523 Phone: 217-362-6262 Fax: 217-362-6290 | |
Lesa J Mcmahon-lowe, LPC Counselor Medicare: Medicare Enrolled Practice Location: 151 N Main St, Decatur, IL 62523 Phone: 217-420-4776 Fax: 217-362-6259 | |
Marilyn Stevens, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 363 S Main St, Suite 220, Decatur, IL 62523 Phone: 217-638-5545 Fax: 217-424-1633 | |
Kelly Thurston, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 151 N Main St, Decatur, IL 62523 Phone: 217-362-6262 Fax: 217-362-6290 |