Jennifer T Goss, LCPC | |
405 Washington Blvd, Mundelein, IL 60060-3104 | |
(847) 566-0164 | |
Not Available |
Full Name | Jennifer T Goss |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 405 Washington Blvd, Mundelein, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326661885 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 178008121 (Illinois) | Secondary |
101YM0800X | Counselor - Mental Health | 180.013030 (Illinois) | Primary |
Entity Name | Mental Health Solutions, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487891198 PECOS PAC ID: 3072660646 Enrollment ID: O20090416000679 |
Mailing Address | Practice Location Address |
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Jennifer T Goss, LCPC 200 Inwood Dr Apt 110, Wheeling, IL 60090-6710 Ph: (847) 401-9618 | Jennifer T Goss, LCPC 405 Washington Blvd, Mundelein, IL 60060-3104 Ph: (847) 566-0164 |
Mr. Crandell W Bliss, L.C.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 510 N Lake St, 2nd Floor, Suite 5, Mundelein, IL 60060 Phone: 847-566-2500 | |
Natasha Bosch, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 E Park St, Unit B, Mundelein, IL 60060 Phone: 847-566-0164 Fax: 847-566-0375 | |
Michelle Robin Wichter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1606 Woodhaven Ct., Mundelein, IL 60060 Phone: 847-668-9584 | |
Miss Julie Lynn Raye, M.ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 325 Jeanette Pl, Mundelein, IL 60060 Phone: 847-404-3258 | |
Sara Vargas, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 333 Rays Ln, Mundelein, IL 60060 Phone: 847-845-0548 | |
Ms. Melanie Elise Dillon, L.C.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 697 S Lake St, Mundelein, IL 60060 Phone: 847-406-0789 | |
Pamela Ann Bretthauer, L.C.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 505 E Hawley St, Suite 140, Mundelein, IL 60060 Phone: 847-347-7367 Fax: 224-513-4700 |