| Lauren Elizabeth Kern, | |
|
9105 Northpark Dr, Johnston, IA 50131-4807 | |
| (515) 984-6022 | |
| (515) 984-0226 |
| Full Name | Lauren Elizabeth Kern |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 9105 Northpark Dr, Johnston, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417416314 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 094384 (Iowa) | Primary |
| Entity Name | Willow Grove Therapy Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659873727 PECOS PAC ID: 9931464468 Enrollment ID: O20180604000282 |
| Mailing Address | Practice Location Address |
|---|---|
| Lauren Elizabeth Kern, 9105 Northpark Dr, Johnston, IA 50131-4807 Ph: (515) 984-0225 | Lauren Elizabeth Kern, 9105 Northpark Dr, Johnston, IA 50131-4807 Ph: (515) 984-6022 |
Emily Marie Harsch, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6701 Corporate Dr Ste N, Johnston, IA 50131 Phone: 720-295-7420 | |
Kimberly Jean Ingram, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5415 Nw 88th St Ste 100, Johnston, IA 50131 Phone: 515-727-1338 | |
Mr. Jason Van Zee, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5415 Nw 88th St Ste 100, Johnston, IA 50131 Phone: 515-727-1338 | |
Cheryl Joy Moore, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5415 Nw 88th St, Johnston, IA 50131 Phone: 515-727-1338 Fax: 515-727-1340 | |
Shelby Benson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9105 Northpark Dr, Johnston, IA 50131 Phone: 515-984-0225 | |
Katherine Paige Simmons, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5619 Nw 86th St Ste 500, Johnston, IA 50131 Phone: 515-981-2848 | |
Charles Saunders, Counselor Medicare: Medicare Enrolled Practice Location: 9105 Northpark Dr, Johnston, IA 50131 Phone: 515-984-0225 Fax: 515-984-0226 |