| The Compass Counselors Ltd. | |
|
616 Iaa Drive Bloomington IL 61701-2225 | |
| (309) 261-6129 | |
| (309) 808-0617 |
| Full Name | The Compass Counselors Ltd. |
|---|---|
| Speciality | Counselor |
| Location | 616 Iaa Drive, Bloomington, Illinois |
| Authorized Official Name and Position | John Leslie Freshour (PRESIDENT) |
| Authorized Official Contact | 3092616129 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Compass Counselors Ltd. 6073 E. 1100 North Rd. Bloomington IL 61705 Ph: (309) 261-6129 | The Compass Counselors Ltd. 616 Iaa Drive Bloomington IL 61701-2225 Ph: (309) 261-6129 |
| NPI Number | 1205213758 |
|---|---|
| Provider Enumeration Date | 05/05/2015 |
| Last Update Date | 01/05/2024 |
| Certification Date | 01/05/2024 |
| Medicare PECOS PAC ID | 1951740901 |
|---|---|
| Medicare Enrollment ID | O20240423004129 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205213758 | NPI | - | NPPES |
| Provider Name | John Leslie Freshour |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902289994 PECOS PAC ID: 6002281060 Enrollment ID: I20240423004226 |
| Provider Name | Jennifer Belle |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1609241058 PECOS PAC ID: 4981046075 Enrollment ID: I20240521001586 |
| Provider Name | Ashley Nichole Frizzell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063028363 PECOS PAC ID: 4688016603 Enrollment ID: I20240522002809 |
| Provider Name | Jenifer Joan Nibbio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467935973 PECOS PAC ID: 3274975206 Enrollment ID: I20240522003073 |
| Provider Name | Kenneth Noel Martin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861031148 PECOS PAC ID: 2961844527 Enrollment ID: I20240528002809 |
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