| Ann James Counseling, Llc | |
|
1639 N Alpine Rd Ste 204 Rockford IL 61107-1481 | |
| (779) 423-0275 | |
| Not Available |
| Full Name | Ann James Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1639 N Alpine Rd Ste 204, Rockford, Illinois |
| Authorized Official Name and Position | Ann Catherine Knutson James (OWNER) |
| Authorized Official Contact | 7794230275 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ann James Counseling, Llc 1639 N Alpine Rd Ste 204 Rockford IL 61107-1481 Ph: (779) 423-0275 | Ann James Counseling, Llc 1639 N Alpine Rd Ste 204 Rockford IL 61107-1481 Ph: (779) 423-0275 |
| NPI Number | 1053713917 |
|---|---|
| Provider Enumeration Date | 09/23/2014 |
| Last Update Date | 09/23/2014 |
| Medicare PECOS PAC ID | 8022239235 |
|---|---|
| Medicare Enrollment ID | O20141031000097 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053713917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149.011881 (Illinois) | Primary |
| Provider Name | Marcy Turek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013994789 PECOS PAC ID: 8426080789 Enrollment ID: I20050907000919 |
| Provider Name | Ann Ck James |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982776662 PECOS PAC ID: 6608914007 Enrollment ID: I20091104000615 |
| Provider Name | Peggy M Derango |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801072046 PECOS PAC ID: 5092857730 Enrollment ID: I20100119000643 |
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