Kristen Michelle Clow, MA, LCPC is a
Counselor - Professional based in 62711, Illinois. Kristen Michelle Clow is licensed to practice in Illinois (license number 180.007516) and her current practice location is
3233 Mathers Road Suite A, 62711, Illinois. She can be reached at her office (for appointments etc.) via phone at
(217) 414-2064.
NPI number for Kristen Michelle Clow is 1770221426 and her current mailing address is 1221 W Pine St, Springfield, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1770221426.
Healthcare Provider's Profile
Full Name | Kristen Michelle Clow |
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Gender | Female |
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Speciality | Counselor - Professional |
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Location | 3233 Mathers Road Suite A, 62711, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1770221426
- Provider Enumeration Date: 05/23/2022
- Last Update Date: 06/16/2022
Medical Identifiers
Medical identifiers for Kristen Michelle Clow such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1770221426 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 178.005177 (* (Not Available)) | Secondary |
101YP2500X | Counselor - Professional | 178.005177 (Illinois) | Secondary |
101YP2500X | Counselor - Professional | 180.007516 (Illinois) | Primary |
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. Kristen Michelle Clow is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kristen Michelle Clow, MA, LCPC 1221 W Pine St, Springfield, IL 62704-3548 Ph: (217) 416-0737 | Kristen Michelle Clow, MA, LCPC 3233 Mathers Road Suite A, 62711, IL 62704 Ph: (217) 414-2064 |
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