Jonathon Matthew Keck, LPC, LCPC in Decatur, IL

Jonathon Matthew Keck, LPC, LCPC is a medicare enrolled "Counselor - Professional" provider in Decatur, Illinois. His current practice location is 102 W Kenwood Ave Ste 120a, Decatur, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 693-6072.

Jonathon Matthew Keck is licensed to practice in Illinois (license number 180015714) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1275285140.

Contact Information

	Jonathon Matthew Keck, LPC, LCPC
	102 W Kenwood Ave Ste 120a, Decatur, IL 62526-4368
	(217) 693-6072
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jonathon Matthew Keck
Gender	Male
Speciality	Counselor - Professional
Location	102 W Kenwood Ave Ste 120a, Decatur, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275285140
Provider Enumeration Date: 01/21/2022
Last Update Date: 12/28/2023

Medicare PECOS Information:

PECOS PAC ID: 0547637324
Enrollment ID: I20240205002336

Medical Identifiers

Medical identifiers for Jonathon Matthew Keck such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275285140	NPI	-	NPPES
180015714	Other	IL	ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
178.016620	Other	IL	ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	178.016620 (Illinois)	Secondary
101YP2500X	Counselor - Professional	180015714 (Illinois)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jonathon Matthew Keck allows following entities to bill medicare on his behalf.

Entity Name	Edgewood Clinical Services P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295914646 PECOS PAC ID: 3971963901 Enrollment ID: O20230721001228

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jonathon Matthew Keck is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jonathon Matthew Keck, LPC, LCPC 2131 N Oakcrest Ct, Decatur, IL 62526-3446 Ph: (217) 412-5543	Jonathon Matthew Keck, LPC, LCPC 102 W Kenwood Ave Ste 120a, Decatur, IL 62526-4368 Ph: (217) 693-6072

Reviews and Comments

Counselor in Decatur, IL

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

Jonathon Matthew Keck, LPC, LCPC - Medicare Counselor in Decatur, IL