| Cognitive Care Counseling, Pllc | |
|
11369 Timer Dr Huntley IL 60142-6935 | |
| (815) 347-8258 | |
| Not Available |
| Full Name | Cognitive Care Counseling, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 11369 Timer Dr, Huntley, Illinois |
| Authorized Official Name and Position | Joanna Maureen Sullivan (DIRECTOR, CLINICAL OPERATIONS) |
| Authorized Official Contact | 8153478258 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cognitive Care Counseling, Pllc 11369 Timer Dr Huntley IL 60142-6935 Ph: (815) 347-8258 | Cognitive Care Counseling, Pllc 11369 Timer Dr Huntley IL 60142-6935 Ph: (815) 347-8258 |
| NPI Number | 1013532191 |
|---|---|
| Provider Enumeration Date | 06/14/2020 |
| Last Update Date | 06/14/2020 |
| Certification Date | 06/14/2020 |
| Medicare PECOS PAC ID | 4385069640 |
|---|---|
| Medicare Enrollment ID | O20200803003033 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013532191 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Amanda Lynn Berbaum Aussem |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578118964 PECOS PAC ID: 2163479536 Enrollment ID: I20050407000446 |
| Provider Name | Erin Marie Cantu |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528392669 PECOS PAC ID: 0345477915 Enrollment ID: I20131206000551 |
| Provider Name | Laura Argentine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619285095 PECOS PAC ID: 6204159841 Enrollment ID: I20150106001880 |
| Provider Name | Helen R Schaeffer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487183794 PECOS PAC ID: 9436418191 Enrollment ID: I20180125002861 |
| Provider Name | Jillu P Mathew |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730628793 PECOS PAC ID: 7719215094 Enrollment ID: I20190823002648 |
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