Dr Heather R Keppen, (LCPC) PHD, MED | |
111 Dean St., Woodstock, IL 60098 | |
(815) 344-5061 | |
(815) 344-5072 |
Full Name | Dr Heather R Keppen |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 111 Dean St., Woodstock, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679885115 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | C0600084 (Ohio) | Secondary |
101YP2500X | Counselor - Professional | 180.010572 (Illinois) | Primary |
Entity Name | The Lodestone Center For Behavioral Health Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619448222 PECOS PAC ID: 6709128317 Enrollment ID: O20190501001853 |
Mailing Address | Practice Location Address |
---|---|
Dr Heather R Keppen, (LCPC) PHD, MED 3923 Mercy Dr. Suite F, Mchenry, IL 60050 Ph: (815) 344-5072 | Dr Heather R Keppen, (LCPC) PHD, MED 111 Dean St., Woodstock, IL 60098 Ph: (815) 344-5061 |
Katharina Gounaris, BSW, CDVP Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 S Jefferson St, Woodstock, IL 60098 Phone: 815-344-1230 | |
Amber Marcussen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 Dean St, Woodstock, IL 60098 Phone: 847-802-4058 Fax: 815-344-5072 | |
Diana French, Counselor Medicare: Not Enrolled in Medicare Practice Location: 527 W South St, Woodstock, IL 60098 Phone: 800-892-8900 | |
Trisha Fendt, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 S Jefferson St, Woodstock, IL 60098 Phone: 815-344-1230 | |
Natalie Freeman, LPC, CDWF Counselor Medicare: Not Enrolled in Medicare Practice Location: 224 W Judd St, Woodstock, IL 60098 Phone: 815-345-3400 | |
Sara Bardy, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 Dean St, Woodstock, IL 60098 Phone: 847-802-4058 Fax: 815-344-5072 | |
Dr. Astrid Larsen, PHD, LCPC, MBA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2317 Timberline Trl, Woodstock, IL 60098 Phone: 847-553-7764 |