Stephen L Dejaynes, LCPC | |
100 Hillcrest Drive, Washington, IL 61571 | |
(309) 444-2800 | |
(309) 444-2866 |
Full Name | Stephen L Dejaynes |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 100 Hillcrest Drive, Washington, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639410772 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 1041C700X (Illinois) | Primary |
Entity Name | Balanced |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225332273 PECOS PAC ID: 9830352020 Enrollment ID: O20120525000595 |
Mailing Address | Practice Location Address |
---|---|
Stephen L Dejaynes, LCPC 414 Mackenie Place, Germantown Hills, IL 61548 Ph: (309) 256-1654 | Stephen L Dejaynes, LCPC 100 Hillcrest Drive, Washington, IL 61571 Ph: (309) 444-2800 |
Joshua Ryan Lehman, L.C.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 631 N Cummings Ln, Washington, IL 61571 Phone: 309-370-6406 | |
Ms. Theresa Ann Kennedy Patton, LCPC CRC LCAC LISAC Counselor Medicare: Medicare Enrolled Practice Location: 617 Stephanie Ct, Washington, IL 61571 Phone: 317-799-4343 Fax: 317-643-8989 | |
Ms. Andrea Lynn Shryock, L.C.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 128 Washington Sq, Washington, IL 61571 Phone: 800-773-1682 | |
Lorelei Volpe, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1003 N Cummings Ln, Washington, IL 61571 Phone: 309-444-1000 Fax: 309-444-7000 | |
Adrien Nuechterlein, L.C.P.C, N.C.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1003 N Cummings Ln, Washington, IL 61571 Phone: 309-444-1000 | |
Thomas Payne-brewer, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Hillcrest Dr Ste C, Washington, IL 61571 Phone: 309-444-2800 | |
Chelse Carr, MA, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1003 N Cummings Ln, Washington, IL 61571 Phone: 309-444-1000 |