Lisa R Ballinger, MA, LCPC | |
2512 Hurst Dr Ste 120, Mattoon, IL 61938-9200 | |
(217) 258-7590 | |
Not Available |
Full Name | Lisa R Ballinger |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 2512 Hurst Dr Ste 120, Mattoon, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811985468 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 180003520 (Illinois) | Secondary |
101YP2500X | Counselor - Professional | 180003520 (Illinois) | Primary |
Entity Name | Sarah Bush Lincoln Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669564662 PECOS PAC ID: 5092614867 Enrollment ID: O20031231000478 |
Mailing Address | Practice Location Address |
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Lisa R Ballinger, MA, LCPC 611 W Park St, Fapc, Urbana, IL 61801-2500 Ph: () - | Lisa R Ballinger, MA, LCPC 2512 Hurst Dr Ste 120, Mattoon, IL 61938-9200 Ph: (217) 258-7590 |
Kiaya Loy, MS, MHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 750 Broadway Ave E, Mattoon, IL 61938 Phone: 217-238-5700 | |
Nerissa Jones, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 750 Broadway Ave E, Mattoon, IL 61938 Phone: 217-238-5735 | |
Jessica Milburn, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 750 Broadway Ave E, Mattoon, IL 61938 Phone: 217-238-5700 Fax: 217-238-5767 | |
Taylor Downey, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 750 Broadway Ave E, Mattoon, IL 61938 Phone: 217-238-5700 | |
Bonnie K. Mcdade, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1005 Health Center Drive, Suite 102, Mattoon, IL 61938 Phone: 217-258-4042 Fax: 217-258-4053 | |
Allen M. Creamean, B.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 750 Broadway Ave E, Mattoon, IL 61938 Phone: 217-238-5700 Fax: 217-238-5767 | |
Madeleine Stone, Counselor Medicare: Not Enrolled in Medicare Practice Location: 750 Broadway Ave E, Mattoon, IL 61938 Phone: 217-238-5700 |