Richard Lee Mccoy, MA, NCC, LCPC | |
134 Cass St Ste 3, Woodstock, IL 60098-3208 | |
(815) 345-3400 | |
Not Available |
Full Name | Richard Lee Mccoy |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 134 Cass St Ste 3, 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 |
---|---|---|---|
1790111631 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 178.008683 (Illinois) | Secondary |
101YP2500X | Counselor - Professional | 180010971 (Illinois) | Primary |
Entity Name | Woodstock Therapist Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003358037 PECOS PAC ID: 6507133105 Enrollment ID: O20170602001149 |
Mailing Address | Practice Location Address |
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Richard Lee Mccoy, MA, NCC, LCPC 134 Cass St Ste 3, Woodstock, IL 60098-3208 Ph: (815) 345-3400 | Richard Lee Mccoy, MA, NCC, LCPC 134 Cass St Ste 3, Woodstock, IL 60098-3208 Ph: (815) 345-3400 |
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 |