Johnathan Mehrtens, LPC | |
2615 Edwards St, Alton, IL 62002-3915 | |
(618) 462-2331 | |
(618) 462-7160 |
Full Name | Johnathan Mehrtens |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 2615 Edwards St, Alton, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487208815 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 178013908 (Illinois) | Primary |
Entity Name | Human Support Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851314918 PECOS PAC ID: 8729166434 Enrollment ID: O20080422000307 |
Mailing Address | Practice Location Address |
---|---|
Johnathan Mehrtens, LPC 902 W Main St, West Frankfort, IL 62896-2210 Ph: (618) 937-6483 | Johnathan Mehrtens, LPC 2615 Edwards St, Alton, IL 62002-3915 Ph: (618) 462-2331 |
Elissha Lenhardt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2615 Edwards St, Alton, IL 62002 Phone: 618-462-2331 Fax: 618-462-2504 | |
Jennifer Tapen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2615 Edwards St, Alton, IL 62002 Phone: 618-462-2331 Fax: 618-462-2504 | |
Emily Pembrook, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2615 Edwards St, Alton, IL 62002 Phone: 618-462-2331 Fax: 618-462-2504 | |
Joshua Lupardus, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2615 Edwards St, Alton, IL 62002 Phone: 618-462-2331 Fax: 618-462-7160 | |
Lauren Lumpkins, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2615 Edwards St, Alton, IL 62002 Phone: 618-462-2331 Fax: 618-462-2504 | |
Erin Loebner, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2615 Edwards St, Alton, IL 62002 Phone: 618-462-2331 Fax: 618-462-2504 | |
Ms. Linda K Moffatt, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 611 W Delmar Ave, Alton, IL 62002 Phone: 618-791-8006 Fax: 618-243-6558 |