Mary Catherine (kay) Clarke, MA, LCPC, CADC | |
1120 E Main St Ste 201, St Charles, IL 60174-2287 | |
(630) 377-6613 | |
(630) 377-6225 |
Full Name | Mary Catherine (kay) Clarke |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 1120 E Main St Ste 201, St Charles, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114077567 | NPI | - | NPPES |
0005632144 | Other | IL | BLUE CROSS BLUE SHIELD # |
22634 | Other | IL | CADC CERTIFICATION |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 180-005377 (Illinois) | Primary |
Entity Name | Centennial Counseling Center, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376544387 PECOS PAC ID: 7416959390 Enrollment ID: O20070206000185 |
Mailing Address | Practice Location Address |
---|---|
Mary Catherine (kay) Clarke, MA, LCPC, CADC 1120 E Main St Ste 201, St Charles, IL 60174-2287 Ph: (630) 377-6613 | Mary Catherine (kay) Clarke, MA, LCPC, CADC 1120 E Main St Ste 201, St Charles, IL 60174-2287 Ph: (630) 377-6613 |
Lauren Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 41w400 Silver Glen Rd, St Charles, IL 60175 Phone: 855-740-1921 | |
Dr. Christine R. Hibbard, ED.D, L.C.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1121 E Main St, Suite 320, St Charles, IL 60174 Phone: 630-584-0642 Fax: 630-365-2478 | |
Kyle James Smith, LCPC, NCC Counselor Medicare: Medicare Enrolled Practice Location: 1120 E Main St, Suite 201, St Charles, IL 60174 Phone: 630-377-6613 Fax: 630-377-6225 | |
Ms. Edith Wirtz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 E Main St, St Charles, IL 60174 Phone: 630-587-3777 | |
Dr. David J. Norton, PH.D. Counselor Medicare: Medicare Enrolled Practice Location: 1120 E Main St, St Charles, St Charles, IL 60174 Phone: 630-377-6613 Fax: 630-377-6225 | |
Ms. Samantha Anne Miemczewski, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 3805 E Main St Ste M, St Charles, IL 60174 Phone: 630-305-5118 | |
Caitlin Lake, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2560 Foxfield Rd Ste 320, St Charles, IL 60174 Phone: 630-222-7375 |