Mrs Khoa Ngo, LCPC | |
2823 Glenwood Ave, Rockford, IL 61101-3507 | |
(815) 968-5342 | |
(815) 968-4656 |
Full Name | Mrs Khoa Ngo |
---|---|
Gender | Female |
Speciality | Counselor |
Location | 2823 Glenwood Ave, Rockford, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861892374 | NPI | - | NPPES |
13549065 | Other | CAQH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | 180010755 (Illinois) | Primary |
101YP2500X | Counselor - Professional | 2014022243 (Missouri) | Secondary |
Entity Name | Rodasi Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467691790 PECOS PAC ID: 0749418630 Enrollment ID: O20140123000856 |
Mailing Address | Practice Location Address |
---|---|
Mrs Khoa Ngo, LCPC 2823 Glenwood Ave, Rockford, IL 61101-3507 Ph: (815) 968-5342 | Mrs Khoa Ngo, LCPC 2823 Glenwood Ave, Rockford, IL 61101-3507 Ph: (815) 968-5342 |
Stephanie Yates, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6072 Brynwood Dr Ste 107, Rockford, IL 61114 Phone: 815-846-0684 | |
Logan John Chapman-neal, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1601 University Dr, Rockford, IL 61107 Phone: 815-391-1000 | |
Charlene J Donahoe, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4869 Linden Rd Apt 221, Rockford, IL 61109 Phone: 815-980-8621 | |
Holly Brun, Counselor Medicare: Medicare Enrolled Practice Location: 8616 Northern Ave, Rockford, IL 61107 Phone: 815-332-8003 | |
Jeremy Adon Mcintosh, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1601 University Dr, Rockford, IL 61107 Phone: 815-391-1000 | |
Angie Tompkins, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6066 Strathmoor Dr Ste 2, Rockford, IL 61107 Phone: 815-324-3979 | |
Ms. Eileen H Mccarten, MS, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3600 E State St Ste 316, Rockford, IL 61108 Phone: 815-877-7228 Fax: 815-877-8172 |