Kathleen Wirth-couch, LPC | |
604 W Dianne Ln, Mahomet, IL 61853-9147 | |
(217) 369-6048 | |
Not Available |
Full Name | Kathleen Wirth-couch |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 604 W Dianne Ln, Mahomet, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508224825 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 178.011380 (Illinois) | Primary |
101YS0200X | Counselor - School | (Illinois) | Secondary |
Entity Name | Keri Powell Therapy Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174751663 PECOS PAC ID: 9638335532 Enrollment ID: O20120720000534 |
Mailing Address | Practice Location Address |
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Kathleen Wirth-couch, LPC Po Box 271, Mahomet, IL 61853-0271 Ph: (217) 369-6048 | Kathleen Wirth-couch, LPC 604 W Dianne Ln, Mahomet, IL 61853-9147 Ph: (217) 369-6048 |
Deanna Morelli, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1002 Commercial Dr Ste 2, Mahomet, IL 61853 Phone: 217-590-4178 Fax: 217-501-4322 | |
Joanna Lewis, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1204 E Oak St Ste 2-2, Mahomet, IL 61853 Phone: 217-530-5608 Fax: 309-981-8714 | |
Kathryn Eichen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 207 Ridge Rd, Mahomet, IL 61853 Phone: 217-979-2505 | |
Samantha Wanek, MS, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 S Lombard St, Mahomet, IL 61853 Phone: 217-586-9999 | |
Lisa Novinska, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 601 E Main St Ste 201, Mahomet, IL 61853 Phone: 217-803-0083 | |
Lindsay Elise Brooks, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 S Lombard St, Mahomet, IL 61853 Phone: 217-586-9999 |