| Aspen Counseling & Consulting Llc | |
|
1021 N Mulford Rd L1 Rockford IL 61107-3877 | |
| (815) 399-9700 | |
| (815) 394-1401 |
| Full Name | Aspen Counseling & Consulting Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1021 N Mulford Rd, Rockford, Illinois |
| Authorized Official Name and Position | Philip W Eaton (PRESIDENT / CEO) |
| 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 & Consulting Llc 8616 Northern Ave Rockford IL 61107-5309 Ph: (815) 399-9700 | Aspen Counseling & Consulting Llc 1021 N Mulford Rd L1 Rockford IL 61107-3877 Ph: (815) 399-9700 |
| NPI Number | 1326288994 |
|---|---|
| Provider Enumeration Date | 02/23/2009 |
| Last Update Date | 12/09/2016 |
| Medicare PECOS PAC ID | 9335376805 |
|---|---|
| Medicare Enrollment ID | O20131209001589 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326288994 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Ann Petty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770991820 PECOS PAC ID: 5294708301 Enrollment ID: I20040817000786 |
| Provider Name | Kathleen A Kruse |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871664011 PECOS PAC ID: 9931130085 Enrollment ID: I20050829000292 |
| Provider Name | Peter H Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659484707 PECOS PAC ID: 8022023902 Enrollment ID: I20060307000176 |
| Provider Name | Raymond Garcia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245217959 PECOS PAC ID: 5799973921 Enrollment ID: I20110103000546 |
| Provider Name | James M Viggiano |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073609426 PECOS PAC ID: 3274425095 Enrollment ID: I20110303000980 |
| Provider Name | Lynn Wheeler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295039873 PECOS PAC ID: 5597948109 Enrollment ID: I20110318000832 |
| Provider Name | Beth A Drennen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679899926 PECOS PAC ID: 6406178557 Enrollment ID: I20141201001485 |
| Provider Name | Jason R Soriano |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275920969 PECOS PAC ID: 8022338490 Enrollment ID: I20150526002590 |
| Provider Name | Thomas E Wright |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639182868 PECOS PAC ID: 6406857507 Enrollment ID: I20150723006767 |
| Provider Name | Teisha Marie Hoppe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447741228 PECOS PAC ID: 3577802487 Enrollment ID: I20190311001490 |
| Provider Name | Margaret L Loy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659930956 PECOS PAC ID: 4385978642 Enrollment ID: I20190620002634 |
| Provider Name | Debra Corrigan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043582273 PECOS PAC ID: 3577987502 Enrollment ID: I20200722003484 |
| Provider Name | Viengkeo Chanthaloth- Phasouk |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366920811 PECOS PAC ID: 1153748447 Enrollment ID: I20200901002564 |
| Provider Name | Lori Martineau |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134688179 PECOS PAC ID: 3678986247 Enrollment ID: I20201229001562 |
| Provider Name | Jennifer Shanti Olson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1770820128 PECOS PAC ID: 9830541762 Enrollment ID: I20240117000090 |
| Provider Name | Kathleen Hundt Terzinski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407127608 PECOS PAC ID: 9335591288 Enrollment ID: I20240117000645 |
| Provider Name | Holly Brun |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013493410 PECOS PAC ID: 2163874934 Enrollment ID: I20240117001706 |
| Provider Name | Nathan Whinnery |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578913281 PECOS PAC ID: 6507218336 Enrollment ID: I20240117003552 |
| Provider Name | Abigail Diane Lake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730669409 PECOS PAC ID: 6204288798 Enrollment ID: I20240119003672 |
Glenwood Center Ltd Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2823 Glenwood Ave, Rockford, IL 61101 Phone: 815-968-5342 Fax: 815-968-4656 | |
University Medical Services At Parkview Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1601 Parkview Ave, Rockford, IL 61107 Phone: 815-395-5637 Fax: 815-395-5887 | |
Paula Tripodi Lcsw Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 6735 Vistagreen Way, Rockford, IL 61107 Phone: 815-742-7489 | |
Great Lakes Neuropsychology & Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5758 Elaine Dr, Rockford, IL 61108 Phone: 815-231-1280 Fax: 815-231-1282 | |
Psychiatric Associates Of Rockford Sc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6078 Palo Verde Dr, Rockford, IL 61114 Phone: 815-398-9360 Fax: 815-398-1028 | |
Rosecrance Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1021 N Mulford Rd, Rockford, IL 61107 Phone: 815-391-1000 Fax: 815-316-4726 | |
Progress Mental Health Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7123 Cherryvale North Blvd, Suite G, Rockford, IL 61112 Phone: 815-704-5893 Fax: 614-748-5893 |