Mr Matthew N Caston Jr, LCPC | |
847 E 166th St, South Holland, IL 60473-2401 | |
(312) 852-4613 | |
Not Available |
Full Name | Mr Matthew N Caston Jr |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 847 E 166th St, South Holland, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154881233 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 178.013059 (Illinois) | Secondary |
101YM0800X | Counselor - Mental Health | 180.013246 (Illinois) | Primary |
Entity Name | Rockford Psychiatric Medical Services Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821391442 PECOS PAC ID: 6901089515 Enrollment ID: O20110318000777 |
Mailing Address | Practice Location Address |
---|---|
Mr Matthew N Caston Jr, LCPC 847 E 166th St, South Holland, IL 60473-2401 Ph: (312) 852-4613 | Mr Matthew N Caston Jr, LCPC 847 E 166th St, South Holland, IL 60473-2401 Ph: (312) 852-4613 |
Robert E Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 16278 Prince Dr, South Holland, IL 60473 Phone: 708-754-8815 | |
Mr. Howard Julian Henry, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 900 E 162nd St, Suite 207, South Holland, IL 60473 Phone: 708-225-1237 Fax: 708-225-1338 | |
Mrs. Ashley Elizabeth Anderson, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 401 E 162nd St Ste 209, Heritage Center: Refuge Christian Counseling, South Holland, IL 60473 Phone: 708-339-2769 Fax: 708-339-6776 | |
Ms. Sherrice A Hoffman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 401 E 162nd St, South Holland, IL 60473 Phone: 773-819-5504 | |
Janiese Myesha Asque, Counselor Medicare: Not Enrolled in Medicare Practice Location: 16519 Ellis Ave, South Holland, IL 60473 Phone: 312-599-3436 | |
Antoinette Allen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 17051 Louis Ave, South Holland, IL 60473 Phone: 708-609-0124 | |
Anthony Olujimi, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 15475 S Park Ave Ste 109, South Holland, IL 60473 Phone: 708-596-5680 Fax: 708-596-5687 |