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3716 W Brighton Peoria IL 61615-2938 | |
| (309) 692-7755 | |
| (309) 692-2262 |
| Full Name | |
|---|---|
| Speciality | Psychologist |
| Location | 3716 W Brighton, Peoria, Illinois |
| Authorized Official Name and Position | Luke R Dalfiume (CO OWNER) |
| Authorized Official Contact | 3096927755 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
3716 W Brighton Peoria IL 61615-2938 Ph: (309) 692-7755 | 3716 W Brighton Peoria IL 61615-2938 Ph: (309) 692-7755 |
| NPI Number | 1245454313 |
|---|---|
| Provider Enumeration Date | 04/12/2007 |
| Last Update Date | 11/09/2010 |
| Medicare PECOS PAC ID | 0446201693 |
|---|---|
| Medicare Enrollment ID | O20050927001346 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245454313 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (Illinois) | Secondary |
| 103TC0700X | Psychologist - Clinical | (Illinois) | Primary |
| 1041C0700X | Social Worker - Clinical | (Illinois) | Secondary |
| Provider Name | Mikell R Mccray |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780973925 PECOS PAC ID: 9537347919 Enrollment ID: I20110707000580 |
| Provider Name | Luke R Dalfiume |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760447155 PECOS PAC ID: 4981655131 Enrollment ID: I20111222000210 |
| Provider Name | Mary Jennifer Meister |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588075048 PECOS PAC ID: 5395010847 Enrollment ID: I20171009002944 |
| Provider Name | Kimberly N Adams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306499983 PECOS PAC ID: 0244674315 Enrollment ID: I20240216000379 |
| Provider Name | Donna Brooks |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013972082 PECOS PAC ID: 5698119709 Enrollment ID: I20240216001975 |
| Provider Name | Gretchen M Whittemore |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497409726 PECOS PAC ID: 1052760923 Enrollment ID: I20240216003596 |
| Provider Name | Tenneille M Ely |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1508571019 PECOS PAC ID: 2163867110 Enrollment ID: I20240229000606 |
| Provider Name | Morris D Lee |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427612464 PECOS PAC ID: 1456744408 Enrollment ID: I20240322003202 |
| Provider Name | Lori B Hirst |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013351659 PECOS PAC ID: 8921446295 Enrollment ID: I20240404003993 |
| Provider Name | Sarah K Robertson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568434306 PECOS PAC ID: 4284078437 Enrollment ID: I20241004001271 |
Human Service Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1005 Ne Jefferson Ave, Peoria, IL 61603 Phone: 309-671-8005 | |
Pschertz Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5016 N University St Ste 101, Peoria, IL 61614 Phone: 309-373-0153 | |
Melissa Millinger Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1013 W Cordell Ave, Peoria, IL 61614 Phone: 309-264-8783 | |
Melissa Shane Counseling Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6919 N Knoxville Ave Ste 100, Peoria, IL 61614 Phone: 309-369-3498 Fax: 309-966-0266 | |
Easter Seals - Ucp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 507 E Armstrong Ave, Peoria, IL 61603 Phone: 309-686-1177 Fax: 309-686-7722 | |
Human Service Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2101 W Willow Knolls Dr, Peoria, IL 61614 Phone: 309-671-8000 | |
Miriam Geiger Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3112 N North St, Peoria, IL 61604 Phone: 510-684-9063 |