| Aspen Counseling And Consulting Llc | |
|
5005 University Ave Ste 100 Madison WI 53705-5400 | |
| (608) 231-2200 | |
| (815) 316-4726 |
| Full Name | Aspen Counseling And Consulting Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5005 University Ave Ste 100, Madison, Wisconsin |
| Authorized Official Name and Position | Phil Eaton (CEO / PRESIDENT) |
| Authorized Official Contact | 8153911000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aspen Counseling And Consulting Llc 1021 N Mulford Rd Rockford IL 61107-3877 Ph: (815) 391-1000 | Aspen Counseling And Consulting Llc 5005 University Ave Ste 100 Madison WI 53705-5400 Ph: (608) 231-2200 |
| NPI Number | 1407287394 |
|---|---|
| Provider Enumeration Date | 12/03/2013 |
| Last Update Date | 02/14/2017 |
| Medicare PECOS PAC ID | 9335376805 |
|---|---|
| Medicare Enrollment ID | O20161213000210 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407287394 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Kathleen A Oriel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720044696 PECOS PAC ID: 9133032428 Enrollment ID: I20090819000633 |
| Provider Name | Leslie V Taylor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558422634 PECOS PAC ID: 7113057662 Enrollment ID: I20100610000517 |
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