| Chronic Illness Counseling Center Llc | |
|
914 Lily Creek Rd Ste 101 Louisville KY 40243-2815 | |
| (502) 805-5858 | |
| (502) 805-5859 |
| Full Name | Chronic Illness Counseling Center Llc |
|---|---|
| Speciality | Social Worker |
| Location | 914 Lily Creek Rd Ste 101, Louisville, Kentucky |
| Authorized Official Name and Position | Jayan Thomas (OWNER/SOLE MEMBER) |
| Authorized Official Contact | 5028055858 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chronic Illness Counseling Center Llc 4103 Brownsboro Glen Rd Louisville KY 40241-1196 Ph: (502) 558-0696 | Chronic Illness Counseling Center Llc 914 Lily Creek Rd Ste 101 Louisville KY 40243-2815 Ph: (502) 805-5858 |
| NPI Number | 1548839285 |
|---|---|
| Provider Enumeration Date | 06/17/2021 |
| Last Update Date | 06/17/2021 |
| Certification Date | 06/17/2021 |
| Medicare PECOS PAC ID | 3274930896 |
|---|---|
| Medicare Enrollment ID | O20210924001452 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548839285 | NPI | - | NPPES |
| 1609989151 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jayan E Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609989151 PECOS PAC ID: 3678757705 Enrollment ID: I20110413000825 |
| Provider Name | Jennifer Hamill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184192429 PECOS PAC ID: 8426392556 Enrollment ID: I20181130001147 |
| Provider Name | Robbie B Blair |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659636199 PECOS PAC ID: 6204162662 Enrollment ID: I20190724000724 |
| Provider Name | Niyabinghi N Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437803632 PECOS PAC ID: 0345636817 Enrollment ID: I20220408002337 |
| Provider Name | Regina Bramer Wheatley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023484474 PECOS PAC ID: 4688060932 Enrollment ID: I20220413001781 |
| Provider Name | Samantha Kaye Goodwin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407502602 PECOS PAC ID: 8123483617 Enrollment ID: I20230505002242 |
| Provider Name | Franchesca Yvette Brutley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053923748 PECOS PAC ID: 5193161321 Enrollment ID: I20240311002744 |
| Provider Name | Kole Metz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841679115 PECOS PAC ID: 3274972583 Enrollment ID: I20240419001243 |
Normal Life Family Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9901 Linn Station Rd, Louisville, KY 40223 Phone: 800-866-0860 | |
The Home Of The Innocents Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 E Market St, Louisville, KY 40206 Phone: 502-596-1088 Fax: 502-596-1449 | |
Brite Pointe Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 324 Dale Rd, Louisville, KY 40229 Phone: 502-713-1041 Fax: 502-277-1528 | |
Meghana Suchak Phd, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4010 Dupont Cir Ste 574, Louisville, KY 40207 Phone: 502-912-1498 | |
Hmr Associates, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 159 Saint Matthews Ave, Ste. 9, Louisville, KY 40207 Phone: 502-899-3205 Fax: 502-899-1403 | |
Neuroscience Associates, Psc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3 Audubon Plaza Dr, Suite 110, Louisville, KY 40217 Phone: 502-634-3433 Fax: 502-634-3494 | |
Family Links Of Kentucky,psc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3715 Bardstown Rd, Suite 415, Louisville, KY 40218 Phone: 502-458-4530 Fax: 502-458-2070 |