Maegan Glass, MA, LMHCA, NCC | |
1308 N Main St, Crown Point, IN 46307-2719 | |
(219) 301-0206 | |
Not Available |
Full Name | Maegan Glass |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 1308 N Main St, Crown Point, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043817430 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 88000999A (Indiana) | Primary |
Entity Name | Porter-starke Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689627598 PECOS PAC ID: 1951293554 Enrollment ID: O20040330000098 |
Mailing Address | Practice Location Address |
---|---|
Maegan Glass, MA, LMHCA, NCC 2511 Fairveiw Ave, Lake Station, IN 46405 Ph: (219) 301-0206 | Maegan Glass, MA, LMHCA, NCC 1308 N Main St, Crown Point, IN 46307-2719 Ph: (219) 301-0206 |
Suzanne Jean Bonaventura-krischke, MSW Counselor Medicare: Medicare Enrolled Practice Location: 250 N Main St, Crown Point, IN 46307 Phone: 219-663-6353 Fax: 219-663-6155 | |
Kristina Nicole Fairbanks, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1308 N Main St, Crown Point, IN 46307 Phone: 219-663-6353 | |
Jeremy Wirtz, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1308 N Main St, Crown Point, IN 46307 Phone: 219-663-6353 | |
Jilian M Hus, LMHC, CCMHC Counselor Medicare: Medicare Enrolled Practice Location: 11506 Kentucky St, Crown Point, IN 46307 Phone: 219-440-2239 | |
Adam Michael Johnson, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1308 N Main St, Crown Point, IN 46307 Phone: 219-663-6353 | |
Nicole Bashan Lewis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1325 W 98th Ave, Crown Point, IN 46307 Phone: 219-789-9185 |