| Depth Counseling Services P C | |
|
122 S Michigan Ave Ste 1441 Chicago IL 60603-6173 | |
| (312) 786-4990 | |
| Not Available |
| Full Name | Depth Counseling Services P C |
|---|---|
| Speciality | Clinic/Center |
| Location | 122 S Michigan Ave Ste 1441, Chicago, Illinois |
| Authorized Official Name and Position | Gregory Rizzolo (OWNER) |
| Authorized Official Contact | 3127864990 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Depth Counseling Services P C 122 S Michigan Ave Ste 1441 Chicago IL 60603-6173 Ph: (312) 786-4990 | Depth Counseling Services P C 122 S Michigan Ave Ste 1441 Chicago IL 60603-6173 Ph: (312) 786-4990 |
| NPI Number | 1033632104 |
|---|---|
| Provider Enumeration Date | 07/20/2017 |
| Last Update Date | 04/25/2023 |
| Certification Date | 04/25/2023 |
| Medicare PECOS PAC ID | 6204235070 |
|---|---|
| Medicare Enrollment ID | O20210527001026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033632104 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 180008936 (Illinois) | Primary |
| Provider Name | Eric Ornstein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568592178 PECOS PAC ID: 5799941589 Enrollment ID: I20120723000937 |
| Provider Name | Deborah B Hellerstein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851440663 PECOS PAC ID: 6507001153 Enrollment ID: I20130402000193 |
| Provider Name | Kendrick Selwyn Dewdney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619555273 PECOS PAC ID: 7719396951 Enrollment ID: I20210429001505 |
| Provider Name | Ida Roldan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740346089 PECOS PAC ID: 0446659221 Enrollment ID: I20210527001193 |
| Provider Name | Jennifer Tolleson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548333719 PECOS PAC ID: 5496154270 Enrollment ID: I20210527001434 |
| Provider Name | Genai Houser |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942524053 PECOS PAC ID: 2264831056 Enrollment ID: I20210527001698 |
| Provider Name | Ramie Bou-saab |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255976528 PECOS PAC ID: 8729488184 Enrollment ID: I20210607003228 |
| Provider Name | Denise Tsioles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922011535 PECOS PAC ID: 5698175867 Enrollment ID: I20210609001028 |
| Provider Name | Susan Chen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194030650 PECOS PAC ID: 7315342490 Enrollment ID: I20210827001289 |
| Provider Name | Kevin Barrett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821360397 PECOS PAC ID: 2365840485 Enrollment ID: I20211004002708 |
| Provider Name | Leah Nuetzel Happ |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346786555 PECOS PAC ID: 9931598364 Enrollment ID: I20211105000423 |
| Provider Name | Vanessa Baie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104580307 PECOS PAC ID: 0941699383 Enrollment ID: I20211105000734 |
| Provider Name | Isabel Gregersen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174277958 PECOS PAC ID: 9335534726 Enrollment ID: I20220322001596 |
| Provider Name | Huey Hawkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063422665 PECOS PAC ID: 2365511102 Enrollment ID: I20220418002225 |
| Provider Name | Joshua Abrahams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790091601 PECOS PAC ID: 9133557788 Enrollment ID: I20220419001570 |
| Provider Name | David O'keeffe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922601210 PECOS PAC ID: 6608263116 Enrollment ID: I20220503000233 |
| Provider Name | Sophia Starks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619592458 PECOS PAC ID: 7113305905 Enrollment ID: I20220607002261 |
| Provider Name | Eleanor Emrich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558028928 PECOS PAC ID: 4082093265 Enrollment ID: I20220617001240 |
| Provider Name | Kathryn Schechter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598045676 PECOS PAC ID: 1355722166 Enrollment ID: I20220725001881 |
Philip K Mccullough Md Sc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 E Huron St, Suite 11-100, Chicago, IL 60611 Phone: 312-695-3680 Fax: 312-926-3709 | |
Amy Lynn, Lcpc, Atr Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3020 N Lincoln Ave, Flourish Studios, Chicago, IL 60657 Phone: 773-746-7429 | |
K.a.m Alliance, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2215 W 95th St Ste 100, Chicago, IL 60643 Phone: 773-239-9600 Fax: 773-239-9601 | |
King Community Mental Health Center Corp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4455 S King Drive, Suite 101, Chicago, IL 60653 Phone: 773-536-2700 Fax: 773-751-2250 | |
Young Adult Program Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4219 N Lincoln Ave, Chicago, IL 60618 Phone: 773-572-5500 Fax: 773-537-3488 | |
Professional Diagnostic Service, S.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 821 W Van Buren St, Chicago, IL 60607 Phone: 312-491-0404 Fax: 312-491-0505 | |
Universal Medical Group Ltd. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 809 E 42nd Pl, Chicago, IL 60653 Phone: 773-285-3422 |