Stacey Anne Matson, LPC | |
16151 Weber Rd. Ste. Ll10, Crest Hill, IL 60403 | |
(815) 782-8263 | |
Not Available |
Full Name | Stacey Anne Matson |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 16151 Weber Rd. Ste. Ll10, Crest Hill, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144371212 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 178003216 (Illinois) | Primary |
Entity Name | Thriving Lane |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376122515 PECOS PAC ID: 1355741083 Enrollment ID: O20231219001685 |
Mailing Address | Practice Location Address |
---|---|
Stacey Anne Matson, LPC 112 Naden Court, Yorkville, IL 60560-1049 Ph: (224) 629-0746 | Stacey Anne Matson, LPC 16151 Weber Rd. Ste. Ll10, Crest Hill, IL 60403 Ph: (815) 782-8263 |
Nicole Ramel, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 16830 Il-53, Crest Hill, IL 60403 Phone: 815-727-3607 | |
Dehvin White-peck, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1324 Harvest Dr, Crest Hill, IL 60403 Phone: 770-510-6469 | |
Mr. Jose Andres Baltazar, MSW,LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1520 N Rock Run Dr, Suite 22, Crest Hill, IL 60435 Phone: 815-730-8900 Fax: 815-730-0988 | |
Dr. Danika Alyce Contreras, ED.D., LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1860 N Raynor Ave, Crest Hill, IL 60403 Phone: 847-217-5735 | |
Mrs. Jody Beth Mitchell, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1520 N Rock Run Dr, Suite 30a, Crest Hill, IL 60435 Phone: 815-741-3009 | |
Ms. Annette M Nigro, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1520 N Rock Run Dr, Suite 30a, Crest Hill, IL 60403 Phone: 815-741-3009 Fax: 815-741-8322 |