| Crossroads Counseling Services, Pllc | |
|
1802 N Division St Ste 509 Morris IL 60450-3107 | |
| (815) 941-3882 | |
| (815) 941-3884 |
| Full Name | Crossroads Counseling Services, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1802 N Division St Ste 509, Morris, Illinois |
| Authorized Official Name and Position | Angela C Solis (OWNER) |
| Authorized Official Contact | 8159413882 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossroads Counseling Services, Pllc 1802 N Division St Ste 509 Morris IL 60450-3107 Ph: (815) 941-3882 | Crossroads Counseling Services, Pllc 1802 N Division St Ste 509 Morris IL 60450-3107 Ph: (815) 941-3882 |
| NPI Number | 1427205111 |
|---|---|
| Provider Enumeration Date | 08/25/2008 |
| Last Update Date | 06/05/2024 |
| Certification Date | 06/05/2024 |
| Medicare PECOS PAC ID | 9234280710 |
|---|---|
| Medicare Enrollment ID | O20090623000395 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427205111 | NPI | - | NPPES |
| Provider Name | Stacy A Aubry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518157197 PECOS PAC ID: 3971695032 Enrollment ID: I20070817000711 |
| Provider Name | James V Dyers |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861679888 PECOS PAC ID: 8729153051 Enrollment ID: I20080820000516 |
| Provider Name | Craig S Laasch |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710140678 PECOS PAC ID: 3072798180 Enrollment ID: I20110504000369 |
| Provider Name | Anne C Ibarra |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538285812 PECOS PAC ID: 6800062399 Enrollment ID: I20120105000032 |
| Provider Name | Kristen M Noble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689089807 PECOS PAC ID: 8820215601 Enrollment ID: I20140819001813 |
| Provider Name | James Todd Boggess |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902216849 PECOS PAC ID: 3274852322 Enrollment ID: I20150512001472 |
| Provider Name | Victoria Brueggert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992231260 PECOS PAC ID: 1456628924 Enrollment ID: I20170605001725 |
| Provider Name | Api Ngonuh Mudoh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063868628 PECOS PAC ID: 1759731722 Enrollment ID: I20240103002346 |
| Provider Name | Angela C Solis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639110612 PECOS PAC ID: 8729082680 Enrollment ID: I20240418001877 |
| Provider Name | Joan E Knox |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326460700 PECOS PAC ID: 7517307580 Enrollment ID: I20240425000025 |
| Provider Name | Amanda Redwine |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366035362 PECOS PAC ID: 5991153090 Enrollment ID: I20240506003571 |
| Provider Name | Ashley Krumlinde |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477082253 PECOS PAC ID: 1951742501 Enrollment ID: I20240514000642 |
| Provider Name | Nichole M Roed |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942764964 PECOS PAC ID: 4789026907 Enrollment ID: I20240520002678 |
| Provider Name | Anna Doherty |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922646652 PECOS PAC ID: 1052753118 Enrollment ID: I20240521004363 |
| Provider Name | Emily A Burrows |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194092833 PECOS PAC ID: 7719429588 Enrollment ID: I20240607001623 |
| Provider Name | Diana M Carter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750662508 PECOS PAC ID: 4587106125 Enrollment ID: I20240611000751 |
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