Philip Gastineau, LPC | |
1836 Baldwin St, Jenison, MI 49428-8901 | |
(616) 457-0016 | |
Not Available |
Full Name | Philip Gastineau |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 1836 Baldwin St, Jenison, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780172494 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 88000602A (Indiana) | Secondary |
101YP2500X | Counselor - Professional | (Michigan) | Primary |
Entity Name | Perspectives Of Troy Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033227269 PECOS PAC ID: 7113993700 Enrollment ID: O20041027000491 |
Entity Name | Optum Behavioral Care Of Colorado Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700648953 PECOS PAC ID: 0941648463 Enrollment ID: O20240418001763 |
Mailing Address | Practice Location Address |
---|---|
Philip Gastineau, LPC 6604 Blue Mist Rd, Fort Wayne, IN 46819-1502 Ph: (260) 705-9347 | Philip Gastineau, LPC 1836 Baldwin St, Jenison, MI 49428-8901 Ph: (616) 457-0016 |
Mrs. Denise Ann Boldt, Counselor Medicare: Medicare Enrolled Practice Location: 7678 Cottonwood Dr Ste C, Jenison, MI 49428 Phone: 616-426-9034 | |
Gracen Loraine Smit, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1348 Baldwin St, Jenison, MI 49428 Phone: 956-348-7515 | |
Bradley Stalker, MA, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1348 Baldwin St, Jenison, MI 49428 Phone: 616-404-4564 | |
Mr. Nicholas J Melville, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1360 Baldwin St, Jenison, MI 49428 Phone: 616-202-1910 | |
Jennifer Brana, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1877 Georgetown Center Dr, Jenison, MI 49428 Phone: 616-795-0298 | |
Ms. Heather Louise O'brien, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1909 Elizabeth Ln, Jenison, MI 49428 Phone: 616-307-7706 | |
Nathan Apel, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9058 Cottonwood Dr, Jenison, MI 49428 Phone: 616-710-2214 |