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2948 Artesian Rd Ste 112 Naperville IL 60564-8559 | |
| (630) 428-7890 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Psychologist |
| Location | 2948 Artesian Rd Ste 112, Naperville, Illinois |
| Authorized Official Name and Position | Ryan Pardo (CHIEF LEGAL OFFICER) |
| Authorized Official Contact | 2063991493 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
4800 N Scottsdale Rd Ste 2500 Scottsdale AZ 85251-7630 Ph: (480) 524-0990 | 2948 Artesian Rd Ste 112 Naperville IL 60564-8559 Ph: (630) 428-7890 |
| NPI Number | 1295914646 |
|---|---|
| Provider Enumeration Date | 11/01/2007 |
| Last Update Date | 03/06/2024 |
| Certification Date | 03/06/2024 |
| Medicare PECOS PAC ID | 3971963901 |
|---|---|
| Medicare Enrollment ID | O20230721001228 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295914646 | NPI | - | NPPES |
| Provider Name | Deborah L Kivett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265562094 PECOS PAC ID: 3971563545 Enrollment ID: I20041018000862 |
| Provider Name | Jennifer A Kepler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558415398 PECOS PAC ID: 6507828159 Enrollment ID: I20041027000561 |
| Provider Name | Margaret A Tormay |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154548188 PECOS PAC ID: 0547217747 Enrollment ID: I20050331000013 |
| Provider Name | Sanjeev Dwivedi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053321810 PECOS PAC ID: 4880634476 Enrollment ID: I20050503000768 |
| Provider Name | Ashok K Nagella |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972536332 PECOS PAC ID: 0244260420 Enrollment ID: I20050817000545 |
| Provider Name | Krista Lynn Sherinian |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932250347 PECOS PAC ID: 7416963657 Enrollment ID: I20060227000130 |
| Provider Name | Seth Hatlelid |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447270368 PECOS PAC ID: 4688682545 Enrollment ID: I20060404000334 |
| Provider Name | Patricia L Roy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184636474 PECOS PAC ID: 4385738830 Enrollment ID: I20070914000556 |
| Provider Name | Nicole D Noble |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700052818 PECOS PAC ID: 8224106109 Enrollment ID: I20081006000071 |
| Provider Name | Amanda A Twait |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417197690 PECOS PAC ID: 5799831921 Enrollment ID: I20090914000228 |
| Provider Name | Leroy R Hall |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942318837 PECOS PAC ID: 5395882658 Enrollment ID: I20091020000268 |
| Provider Name | Ann Christine Crumpler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629209432 PECOS PAC ID: 3072650134 Enrollment ID: I20091021000573 |
| Provider Name | Karyn B Cihak |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770569402 PECOS PAC ID: 3274665377 Enrollment ID: I20100723000872 |
| Provider Name | Joshua Benjamin Nathan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720048572 PECOS PAC ID: 8729092812 Enrollment ID: I20101013000231 |
| Provider Name | Lin Lu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306045919 PECOS PAC ID: 4688860703 Enrollment ID: I20101201000025 |
| Provider Name | Regina Brian |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699848051 PECOS PAC ID: 4981883758 Enrollment ID: I20110125001242 |
| Provider Name | David V Alvarez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275767394 PECOS PAC ID: 4082890413 Enrollment ID: I20110518000715 |
| Provider Name | Touwanna Edwards |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992938682 PECOS PAC ID: 3375720451 Enrollment ID: I20110527000525 |
| Provider Name | Craig Kestenberg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821174285 PECOS PAC ID: 7618147703 Enrollment ID: I20110829000201 |
| Provider Name | Gurinder Vicki Bolina |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083841951 PECOS PAC ID: 6901091636 Enrollment ID: I20121214000089 |
| Provider Name | Karriann M Longtin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629213624 PECOS PAC ID: 7315186202 Enrollment ID: I20130626000170 |
| Provider Name | Blair M Brown |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215377510 PECOS PAC ID: 7719112549 Enrollment ID: I20131031001645 |
| Provider Name | Heather Obrien |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184067191 PECOS PAC ID: 7911133343 Enrollment ID: I20131113001312 |
| Provider Name | Jeana D Lucarelli |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184998213 PECOS PAC ID: 7113155706 Enrollment ID: I20140103000984 |
| Provider Name | Yuzhen Zeng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114334695 PECOS PAC ID: 9931326436 Enrollment ID: I20140806002441 |
| Provider Name | Donna Kaye Livesey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356756530 PECOS PAC ID: 3678791399 Enrollment ID: I20140821001713 |
| Provider Name | Jie Jiao |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053720284 PECOS PAC ID: 9032330329 Enrollment ID: I20141030001566 |
| Provider Name | Carol L Craig |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083836928 PECOS PAC ID: 0547482952 Enrollment ID: I20141119000215 |
| Provider Name | Donna Elizabeth Swanson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215328190 PECOS PAC ID: 6709103666 Enrollment ID: I20150402001768 |
| Provider Name | Amy M Carbone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376937284 PECOS PAC ID: 0547580565 Enrollment ID: I20150514001987 |
| Provider Name | Peter W Nichols |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013112143 PECOS PAC ID: 1759690811 Enrollment ID: I20151013000290 |
| Provider Name | Grace Marie F Roxas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639543937 PECOS PAC ID: 8820390750 Enrollment ID: I20160108000643 |
| Provider Name | Karen Gilmore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558618587 PECOS PAC ID: 9335442292 Enrollment ID: I20160127000463 |
| Provider Name | Jessica M Hentrich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710358270 PECOS PAC ID: 2264736792 Enrollment ID: I20160203002582 |
| Provider Name | Jennie R Krull |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518322510 PECOS PAC ID: 2769788694 Enrollment ID: I20160302002389 |
| Provider Name | James M English |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821112897 PECOS PAC ID: 7113217381 Enrollment ID: I20160531000698 |
| Provider Name | Cheryl Renee Carter |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467902130 PECOS PAC ID: 0648568048 Enrollment ID: I20161018002890 |
| Provider Name | Robin Leigh Zoeller Pullman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922497429 PECOS PAC ID: 0446530851 Enrollment ID: I20161130002193 |
| Provider Name | Patricia Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730622952 PECOS PAC ID: 5294017166 Enrollment ID: I20170130001119 |
| Provider Name | Barbara S Giordan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326599457 PECOS PAC ID: 3577846138 Enrollment ID: I20170207000414 |
| Provider Name | Arturo D Ventura |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891220257 PECOS PAC ID: 8628347846 Enrollment ID: I20170703000850 |
| Provider Name | Michele M Carroll |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588008122 PECOS PAC ID: 0749547115 Enrollment ID: I20171121000409 |
| Provider Name | Alexander Willett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710493770 PECOS PAC ID: 2062771041 Enrollment ID: I20180119001905 |
| Provider Name | Juliana C Nwauwa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972004422 PECOS PAC ID: 0547523854 Enrollment ID: I20180420000248 |
| Provider Name | Annabel L Punsalan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235673179 PECOS PAC ID: 7911262449 Enrollment ID: I20180604000377 |
| Provider Name | Erin Staley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336652379 PECOS PAC ID: 2860736824 Enrollment ID: I20181130002479 |
| Provider Name | Raymond Carl Bement |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326102435 PECOS PAC ID: 2466794524 Enrollment ID: I20190422001603 |
| Provider Name | April Guilliams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184285926 PECOS PAC ID: 8527395532 Enrollment ID: I20190814001994 |
| Provider Name | Tara L Livingston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417509407 PECOS PAC ID: 5597093989 Enrollment ID: I20190822003498 |
| Provider Name | Margaret Ingram |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619520814 PECOS PAC ID: 6901134865 Enrollment ID: I20190830000142 |
| Provider Name | Onetha Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780246488 PECOS PAC ID: 8426380767 Enrollment ID: I20191106000268 |
| Provider Name | Kristen A Melchiori |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295259059 PECOS PAC ID: 4284069816 Enrollment ID: I20200108002356 |
| Provider Name | Diana Funmilola Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982176400 PECOS PAC ID: 7012342348 Enrollment ID: I20200115000943 |
| Provider Name | Eun Yeop Lee |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982970836 PECOS PAC ID: 1658709100 Enrollment ID: I20200316000786 |
| Provider Name | Cheryl Wroblewski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700406741 PECOS PAC ID: 1052742822 Enrollment ID: I20200511002681 |
| Provider Name | Michelle Patricia Sierzega |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760015424 PECOS PAC ID: 5294156410 Enrollment ID: I20200526001872 |
| Provider Name | Marc Christian Sandrolini |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861669632 PECOS PAC ID: 0446679880 Enrollment ID: I20201002002582 |
| Provider Name | Ara Joann Rose Holiday |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649762667 PECOS PAC ID: 8123376860 Enrollment ID: I20210203000775 |
| Provider Name | Kimberly Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477144020 PECOS PAC ID: 9931514007 Enrollment ID: I20210223001790 |
| Provider Name | Marla Micor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922690759 PECOS PAC ID: 9638584568 Enrollment ID: I20210226000481 |
| Provider Name | Sherri Lindgren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124611256 PECOS PAC ID: 5597172387 Enrollment ID: I20210323000983 |
| Provider Name | Karen Johnanna Escobar Almeida |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144684598 PECOS PAC ID: 7618215724 Enrollment ID: I20210426002680 |
| Provider Name | Joan C Ajide |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013512243 PECOS PAC ID: 7113326182 Enrollment ID: I20210524002054 |
| Provider Name | Anna Kurapey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336600238 PECOS PAC ID: 1355748542 Enrollment ID: I20211001000228 |
| Provider Name | Anthony Mason |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528647427 PECOS PAC ID: 1355730706 Enrollment ID: I20211105001385 |
| Provider Name | Erin D Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093485948 PECOS PAC ID: 8729478078 Enrollment ID: I20211201001455 |
| Provider Name | Karina Resendez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629687231 PECOS PAC ID: 5496145500 Enrollment ID: I20211203002115 |
| Provider Name | Denise Garcia Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366027112 PECOS PAC ID: 5698152940 Enrollment ID: I20220506002089 |
| Provider Name | Meghan Ruich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902378466 PECOS PAC ID: 6709266356 Enrollment ID: I20220629002056 |
| Provider Name | Hildred Amegashie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942855234 PECOS PAC ID: 6608257290 Enrollment ID: I20220713002754 |
| Provider Name | Heather Farina |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033500566 PECOS PAC ID: 0345568317 Enrollment ID: I20220829001569 |
| Provider Name | Calvin Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215601943 PECOS PAC ID: 8527444322 Enrollment ID: I20221003000286 |
| Provider Name | Alyssa Rachelle Nagengast |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992214795 PECOS PAC ID: 5597132431 Enrollment ID: I20221104001553 |
| Provider Name | Frederick A Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568971091 PECOS PAC ID: 7517334469 Enrollment ID: I20221104001910 |
| Provider Name | Adriana V Gilli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306561493 PECOS PAC ID: 4284003971 Enrollment ID: I20221220002443 |
| Provider Name | Manpreet Singh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659089274 PECOS PAC ID: 8224400981 Enrollment ID: I20230207002270 |
| Provider Name | Mia M. Chapple |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487363552 PECOS PAC ID: 2961875885 Enrollment ID: I20230223002352 |
| Provider Name | Stephanie Nicole Polan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205295557 PECOS PAC ID: 6608249826 Enrollment ID: I20230308001715 |
| Provider Name | Rukayat Akinosho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134887623 PECOS PAC ID: 3072987007 Enrollment ID: I20230315000043 |
| Provider Name | Ganime Nazif |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770856825 PECOS PAC ID: 6709241359 Enrollment ID: I20230503002541 |
| Provider Name | Jaya Robert Luis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144917899 PECOS PAC ID: 5698131373 Enrollment ID: I20230523001253 |
| Provider Name | Nicole T Lewis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326733593 PECOS PAC ID: 7618334459 Enrollment ID: I20230608003279 |
| Provider Name | Bayo Babatunde Agbolade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780198192 PECOS PAC ID: 4688035959 Enrollment ID: I20230802003697 |
| Provider Name | Abosede Rachel Babalola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104448968 PECOS PAC ID: 2466814249 Enrollment ID: I20230810001523 |
| Provider Name | Stephanie Ross |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144535915 PECOS PAC ID: 9436471349 Enrollment ID: I20230818002500 |
| Provider Name | Tonya Vander |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134710825 PECOS PAC ID: 6709248933 Enrollment ID: I20230818002526 |
| Provider Name | Janine Watters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437849171 PECOS PAC ID: 0749642999 Enrollment ID: I20230820000037 |
| Provider Name | Robert James Bender |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528251089 PECOS PAC ID: 3476915547 Enrollment ID: I20230822001557 |
| Provider Name | Alissa Nichole Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770101420 PECOS PAC ID: 3971965062 Enrollment ID: I20230822002210 |
| Provider Name | Erin Brumback |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558993238 PECOS PAC ID: 9739541822 Enrollment ID: I20230822002402 |
| Provider Name | Sona Chalian |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639827934 PECOS PAC ID: 1658734751 Enrollment ID: I20230822003369 |
| Provider Name | David Russell Giles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164172664 PECOS PAC ID: 6103289244 Enrollment ID: I20230823000392 |
| Provider Name | Blake Andrew Mathews |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245479179 PECOS PAC ID: 7214390384 Enrollment ID: I20230823001753 |
| Provider Name | Rebecca Anne Gadomski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255455838 PECOS PAC ID: 1658734678 Enrollment ID: I20230823004248 |
| Provider Name | Andres Misquez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629638200 PECOS PAC ID: 7214390103 Enrollment ID: I20230824003186 |
| Provider Name | Kathleen Monforton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194499293 PECOS PAC ID: 7517320377 Enrollment ID: I20230825002018 |
| Provider Name | Chandra Anisha Pierson-rye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457898934 PECOS PAC ID: 0547623357 Enrollment ID: I20230828000690 |
| Provider Name | Allison Grendzinski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720592975 PECOS PAC ID: 2961865530 Enrollment ID: I20230830000188 |
| Provider Name | Toya Elaine Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952708299 PECOS PAC ID: 7214390897 Enrollment ID: I20230830000624 |
| Provider Name | Michelle G Hansen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316683634 PECOS PAC ID: 5092178681 Enrollment ID: I20230830000826 |
| Provider Name | Katie Schwarz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871250290 PECOS PAC ID: 6608239207 Enrollment ID: I20230830001384 |
| Provider Name | Kristen Michelle Jopes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952058828 PECOS PAC ID: 2961865571 Enrollment ID: I20230830001478 |
| Provider Name | Lipika Wadhwa Jain |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548781370 PECOS PAC ID: 2961865597 Enrollment ID: I20230830002463 |
| Provider Name | Kyla Kerry Donovan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770242349 PECOS PAC ID: 1355704883 Enrollment ID: I20230830002782 |
| Provider Name | Samantha Sayre |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750858361 PECOS PAC ID: 4688037112 Enrollment ID: I20230830002937 |
| Provider Name | Cleopatra Mistine Songa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902972326 PECOS PAC ID: 3072608868 Enrollment ID: I20230830002993 |
| Provider Name | Deborah Spenner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790389138 PECOS PAC ID: 2567825003 Enrollment ID: I20230830003555 |
| Provider Name | Danielle Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962075382 PECOS PAC ID: 0345644902 Enrollment ID: I20230830003658 |
| Provider Name | Natasha Knezevic |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093474579 PECOS PAC ID: 1355704875 Enrollment ID: I20230831002452 |
| Provider Name | Marissa Latko |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285112359 PECOS PAC ID: 7214390624 Enrollment ID: I20230901001748 |
| Provider Name | Mary Werle Bell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871281923 PECOS PAC ID: 5597128835 Enrollment ID: I20230904000225 |
| Provider Name | Jacob P Register |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174279244 PECOS PAC ID: 5496118770 Enrollment ID: I20230905001254 |
| Provider Name | Cheryl Reyes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689287898 PECOS PAC ID: 2668835943 Enrollment ID: I20230905001288 |
| Provider Name | Jerey Laverne Mckinney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083815617 PECOS PAC ID: 1153784368 Enrollment ID: I20230905002892 |
| Provider Name | Endia Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689291825 PECOS PAC ID: 6608239843 Enrollment ID: I20230906000068 |
| Provider Name | Jaclyn A. Orton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427789593 PECOS PAC ID: 8527421783 Enrollment ID: I20230906000708 |
| Provider Name | Claire E Zierer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588047740 PECOS PAC ID: 4284098484 Enrollment ID: I20230906002897 |
| Provider Name | Amenaghawon Ugwuede |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780347955 PECOS PAC ID: 5890163935 Enrollment ID: I20230907000822 |
| Provider Name | Samantha Rose |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013326719 PECOS PAC ID: 2769865005 Enrollment ID: I20230908001230 |
| Provider Name | Neelma Zafar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275213035 PECOS PAC ID: 3577927573 Enrollment ID: I20230908003123 |
| Provider Name | Svetlana Medvedeva |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639542368 PECOS PAC ID: 0446556807 Enrollment ID: I20230911001137 |
| Provider Name | Stephanie Alvarez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760059604 PECOS PAC ID: 6507220373 Enrollment ID: I20230912002782 |
| Provider Name | Maureen Pascual Raiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306559604 PECOS PAC ID: 3779947411 Enrollment ID: I20230913001784 |
| Provider Name | Sarah Donohue |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902550916 PECOS PAC ID: 7911361688 Enrollment ID: I20230913002940 |
| Provider Name | Heather Elizabeth Perez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013559665 PECOS PAC ID: 3173977352 Enrollment ID: I20230921001018 |
| Provider Name | Daniel Quintos Laluna |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952849192 PECOS PAC ID: 4880048057 Enrollment ID: I20230922000454 |
| Provider Name | Christine T Look |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376641225 PECOS PAC ID: 5890910418 Enrollment ID: I20230922003342 |
| Provider Name | Adriana Danielle Garza |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568193480 PECOS PAC ID: 2062866700 Enrollment ID: I20230928001432 |
| Provider Name | Gretchen Renfro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265072615 PECOS PAC ID: 0547614265 Enrollment ID: I20230929001022 |
| Provider Name | Gina Thresia Mathew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194419168 PECOS PAC ID: 7719331222 Enrollment ID: I20231002001251 |
| Provider Name | Faustina Ngozu Adenuga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417697202 PECOS PAC ID: 1557715083 Enrollment ID: I20231002002025 |
| Provider Name | Amber D Jelinek |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114663051 PECOS PAC ID: 7810341294 Enrollment ID: I20231004001249 |
| Provider Name | Shelby Wayne Phillips |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518577956 PECOS PAC ID: 7719332113 Enrollment ID: I20231004002175 |
| Provider Name | Marie Kilvington |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427630581 PECOS PAC ID: 8628423951 Enrollment ID: I20231006000720 |
| Provider Name | Antoinette Lynn Senjanovich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881206498 PECOS PAC ID: 3678928835 Enrollment ID: I20231009002915 |
| Provider Name | Umesh Chakunta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528252210 PECOS PAC ID: 1759538150 Enrollment ID: I20231010000363 |
| Provider Name | Sheila Mander |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750051785 PECOS PAC ID: 9830544915 Enrollment ID: I20231010000894 |
| Provider Name | Linda Quizhpi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336856376 PECOS PAC ID: 7911352000 Enrollment ID: I20231010000966 |
| Provider Name | Geneva Austar Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689212409 PECOS PAC ID: 1951756931 Enrollment ID: I20231011001498 |
| Provider Name | Noel Tapia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871233841 PECOS PAC ID: 2860847407 Enrollment ID: I20231017001591 |
| Provider Name | Patrick Mitchell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366418873 PECOS PAC ID: 1658267950 Enrollment ID: I20231030001282 |
| Provider Name | Tara Mae Donald |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487165197 PECOS PAC ID: 1153778501 Enrollment ID: I20231107002976 |
| Provider Name | Harper Essenfeld Rothschild |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003690470 PECOS PAC ID: 6406203751 Enrollment ID: I20231108003329 |
| Provider Name | Megan Ann Sullivan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881210490 PECOS PAC ID: 4688021686 Enrollment ID: I20231113003590 |
| Provider Name | Ruhina Ali |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528406493 PECOS PAC ID: 0345475356 Enrollment ID: I20231115000428 |
| Provider Name | Terri D Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629840046 PECOS PAC ID: 7618324435 Enrollment ID: I20231115002075 |
| Provider Name | Kimberly Guest |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972253045 PECOS PAC ID: 7810345428 Enrollment ID: I20231120003445 |
| Provider Name | Temitope Olutade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538822317 PECOS PAC ID: 7719335348 Enrollment ID: I20231121000760 |
| Provider Name | Jason Sweazy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497188106 PECOS PAC ID: 7113210972 Enrollment ID: I20231127001241 |
| Provider Name | Daniel William Ross |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538550819 PECOS PAC ID: 6709135841 Enrollment ID: I20231129000412 |
| Provider Name | Shawn Garry |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811379084 PECOS PAC ID: 5890145361 Enrollment ID: I20231223000305 |
| Provider Name | Michael G Bonifacio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275310146 PECOS PAC ID: 8426408998 Enrollment ID: I20231223000331 |
| Provider Name | Natasha Nicole Allen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336865120 PECOS PAC ID: 3577914290 Enrollment ID: I20240108000574 |
| Provider Name | Mary C Logalbo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427451509 PECOS PAC ID: 9739530866 Enrollment ID: I20240112001704 |
| Provider Name | Michael John Hobart |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790301562 PECOS PAC ID: 2961853023 Enrollment ID: I20240112002962 |
| Provider Name | Shauntai P Taylor |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093589699 PECOS PAC ID: 7719339837 Enrollment ID: I20240113000727 |
| Provider Name | Kathleen Backus |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871782805 PECOS PAC ID: 7517319379 Enrollment ID: I20240117001338 |
| Provider Name | Linda K Cunningham |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285985531 PECOS PAC ID: 8628420494 Enrollment ID: I20240117001645 |
| Provider Name | Victoria Fetter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003439340 PECOS PAC ID: 1052763661 Enrollment ID: I20240119000496 |
| Provider Name | Vanessa Nicole Wrobel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902686090 PECOS PAC ID: 8729430145 Enrollment ID: I20240122000542 |
| Provider Name | Dawn Marie Sands |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073241451 PECOS PAC ID: 7810349255 Enrollment ID: I20240122000929 |
| Provider Name | Ashleigh Elizabeth Heller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932699212 PECOS PAC ID: 9335591601 Enrollment ID: I20240123001298 |
| Provider Name | Denise Lynn Goff |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902101918 PECOS PAC ID: 9335592542 Enrollment ID: I20240124001432 |
| Provider Name | Jodi L Wiman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356539316 PECOS PAC ID: 4587017595 Enrollment ID: I20240125004220 |
| Provider Name | Tessa Castillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518656479 PECOS PAC ID: 7517310204 Enrollment ID: I20240130000651 |
| Provider Name | Jonathon Matthew Keck |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275285140 PECOS PAC ID: 0547637324 Enrollment ID: I20240205002336 |
| Provider Name | Patricia A Fehr |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689813206 PECOS PAC ID: 4284078627 Enrollment ID: I20240214000443 |
| Provider Name | Sarah Anne Baker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225497613 PECOS PAC ID: 2668816778 Enrollment ID: I20240216001758 |
| Provider Name | James E Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184303075 PECOS PAC ID: 1254775216 Enrollment ID: I20240216004218 |
| Provider Name | Trenae M Bates |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912406844 PECOS PAC ID: 1759725666 Enrollment ID: I20240220000494 |
| Provider Name | Erika Irene Figgers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023640976 PECOS PAC ID: 3577908912 Enrollment ID: I20240226001883 |
| Provider Name | Dana Gutmann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609639780 PECOS PAC ID: 3971948563 Enrollment ID: I20240305003810 |
| Provider Name | Lakeithia Mercedes Butler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376918805 PECOS PAC ID: 1759727381 Enrollment ID: I20240306000911 |
| Provider Name | Andrea Burns |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083076467 PECOS PAC ID: 2567808132 Enrollment ID: I20240306002427 |
| Provider Name | Cecilia N. Davis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508134206 PECOS PAC ID: 1456797935 Enrollment ID: I20240306003322 |
| Provider Name | Robin Fleming |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649729104 PECOS PAC ID: 8729424213 Enrollment ID: I20240306003338 |
| Provider Name | Deborah Brozewski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427471465 PECOS PAC ID: 7517303993 Enrollment ID: I20240307001880 |
| Provider Name | David Raymond Laurich |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932970324 PECOS PAC ID: 3173969342 Enrollment ID: I20240311000446 |
| Provider Name | Cortnie Marie Irby |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861117442 PECOS PAC ID: 7810333739 Enrollment ID: I20240313002458 |
| Provider Name | Iva Andonovska |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104436807 PECOS PAC ID: 9638515570 Enrollment ID: I20240313002845 |
| Provider Name | Brittany Nicole Heard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811775265 PECOS PAC ID: 2264878131 Enrollment ID: I20240313004097 |
| Provider Name | Christopher Michael Allen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457073892 PECOS PAC ID: 4981040698 Enrollment ID: I20240315001212 |
| Provider Name | Britain Dunaway |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760757843 PECOS PAC ID: 5991141673 Enrollment ID: I20240316000459 |
| Provider Name | Sandra Patricia Dunn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649800244 PECOS PAC ID: 3779920384 Enrollment ID: I20240319001133 |
| Provider Name | Lisa Raubolt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003242124 PECOS PAC ID: 8820435340 Enrollment ID: I20240320000943 |
| Provider Name | Lafayette R Bagley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285399576 PECOS PAC ID: 1355788878 Enrollment ID: I20240320001034 |
| Provider Name | Tiffany J Michalak |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215534912 PECOS PAC ID: 8426495961 Enrollment ID: I20240320001993 |
| Provider Name | Hattie Stein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447733688 PECOS PAC ID: 9234576687 Enrollment ID: I20240321002022 |
| Provider Name | Johanna Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023791852 PECOS PAC ID: 5890132138 Enrollment ID: I20240322001421 |
| Provider Name | Sheila Corbett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821400854 PECOS PAC ID: 9436596681 Enrollment ID: I20240322002719 |
| Provider Name | Joe Bynum |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881004752 PECOS PAC ID: 5193162279 Enrollment ID: I20240325003043 |
| Provider Name | Sandra Rincon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235823428 PECOS PAC ID: 7416395157 Enrollment ID: I20240401002475 |
| Provider Name | Ashley Donahue |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386021871 PECOS PAC ID: 6709224926 Enrollment ID: I20240409000070 |
| Provider Name | Joycelyn Almacen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447039839 PECOS PAC ID: 8123467867 Enrollment ID: I20240415002443 |
| Provider Name | Peter Zammuto |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609643519 PECOS PAC ID: 4385083898 Enrollment ID: I20240417000996 |
| Provider Name | Megan Lee France |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003476441 PECOS PAC ID: 3971942368 Enrollment ID: I20240418000750 |
| Provider Name | Stephanie Grein |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861927667 PECOS PAC ID: 3375982614 Enrollment ID: I20240418003235 |
| Provider Name | Elizabeth Hutchinson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083168405 PECOS PAC ID: 7416396767 Enrollment ID: I20240418003422 |
| Provider Name | Anna Liszka |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386283562 PECOS PAC ID: 1254770530 Enrollment ID: I20240419000273 |
| Provider Name | Amber Lefevour |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1518255587 PECOS PAC ID: 8224477518 Enrollment ID: I20240419000409 |
| Provider Name | Anne Marie Tormos |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033682299 PECOS PAC ID: 8224477526 Enrollment ID: I20240419000758 |
| Provider Name | Nora Ochoa |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851841779 PECOS PAC ID: 6406295724 Enrollment ID: I20240419001429 |
| Provider Name | Jennifer D Logan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124370226 PECOS PAC ID: 6305285628 Enrollment ID: I20240419001460 |
| Provider Name | Jennifer Jean Novak |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871149294 PECOS PAC ID: 0446699672 Enrollment ID: I20240419002062 |
| Provider Name | Amanda Lukas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801451547 PECOS PAC ID: 2668811894 Enrollment ID: I20240419002224 |
| Provider Name | Ashley Wooley |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1962957894 PECOS PAC ID: 8628417862 Enrollment ID: I20240419002364 |
| Provider Name | Melissa Leigh Grupe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811293541 PECOS PAC ID: 4486093655 Enrollment ID: I20240419003418 |
| Provider Name | Danielle Pincente |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780041426 PECOS PAC ID: 2567801681 Enrollment ID: I20240422001872 |
| Provider Name | Michelle Rusch |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760927909 PECOS PAC ID: 3274972328 Enrollment ID: I20240422002795 |
| Provider Name | Christina Fisher |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073987764 PECOS PAC ID: 7416396593 Enrollment ID: I20240423000535 |
| Provider Name | Kevin Christopher Seske |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770074817 PECOS PAC ID: 4789023870 Enrollment ID: I20240423000975 |
| Provider Name | Valerie Ann Taylor |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154922813 PECOS PAC ID: 5193164283 Enrollment ID: I20240423001188 |
| Provider Name | Stephanie Suryk |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598258196 PECOS PAC ID: 0042659146 Enrollment ID: I20240423001456 |
| Provider Name | Stephen Hoffmann |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114446754 PECOS PAC ID: 5294174397 Enrollment ID: I20240423001582 |
| Provider Name | Shannon Hock |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053863647 PECOS PAC ID: 8022458082 Enrollment ID: I20240424003992 |
| Provider Name | Lynwood Wayne Morriss |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1477752384 PECOS PAC ID: 5496195653 Enrollment ID: I20240504000178 |
| Provider Name | Debra Fanning |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699110742 PECOS PAC ID: 5698914091 Enrollment ID: I20240504000270 |
| Provider Name | Amy Mueller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043344187 PECOS PAC ID: 5294175386 Enrollment ID: I20240507001526 |
| Provider Name | Katherine Getowicz |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1477020147 PECOS PAC ID: 4688015639 Enrollment ID: I20240508003355 |
| Provider Name | Lucretia M Mayer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710612197 PECOS PAC ID: 3476994674 Enrollment ID: I20240517002200 |
| Provider Name | Gianna Kathleen Capperino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790354058 PECOS PAC ID: 2769824341 Enrollment ID: I20240528003431 |
| Provider Name | Nicolas Gudino |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063833457 PECOS PAC ID: 8921440504 Enrollment ID: I20240528003482 |
| Provider Name | Frederick Cary Shepard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598316291 PECOS PAC ID: 1456793058 Enrollment ID: I20240529000418 |
| Provider Name | Megan E Schauner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770244949 PECOS PAC ID: 6709228307 Enrollment ID: I20240529000491 |
| Provider Name | Gary Michelsen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700999240 PECOS PAC ID: 1951550383 Enrollment ID: I20240529000652 |
| Provider Name | Anthony Rio |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417274903 PECOS PAC ID: 7012359623 Enrollment ID: I20240529000686 |
| Provider Name | Stephanie Elizabeth Popp |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457939209 PECOS PAC ID: 2466894076 Enrollment ID: I20240529000772 |
| Provider Name | Natalie Woulf |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861042806 PECOS PAC ID: 5991147464 Enrollment ID: I20240529003188 |
| Provider Name | Elisabeth Anne Pasch |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679056063 PECOS PAC ID: 2860834215 Enrollment ID: I20240530002120 |
| Provider Name | Priscilla Beecham-joseph |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598510208 PECOS PAC ID: 1759723125 Enrollment ID: I20240530002627 |
| Provider Name | Megan E Borowski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831828326 PECOS PAC ID: 2567804891 Enrollment ID: I20240531000972 |
| Provider Name | Samuel Rentschler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932782976 PECOS PAC ID: 8426590407 Enrollment ID: I20240605002340 |
| Provider Name | Angela Olson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689721193 PECOS PAC ID: 7911449830 Enrollment ID: I20240606004003 |
| Provider Name | Rajashree Iyer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942390653 PECOS PAC ID: 9830631654 Enrollment ID: I20240607003497 |
| Provider Name | John Kamilis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578587747 PECOS PAC ID: 1951843788 Enrollment ID: I20240609000078 |
| Provider Name | Taylor Ewing |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538815675 PECOS PAC ID: 4789126459 Enrollment ID: I20240610001655 |
| Provider Name | Iancu Bradean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396520763 PECOS PAC ID: 6103368709 Enrollment ID: I20240611002682 |
| Provider Name | Richard Henry Logan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043085871 PECOS PAC ID: 7315489846 Enrollment ID: I20240611004489 |
| Provider Name | Richard Henry Logan |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1043085871 PECOS PAC ID: 7315489846 Enrollment ID: I20240612001885 |
| Provider Name | Paula Lambur |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134403942 PECOS PAC ID: 7214479682 Enrollment ID: I20240613000498 |
| Provider Name | Madaline Svencner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538765474 PECOS PAC ID: 4284177478 Enrollment ID: I20240617000290 |
| Provider Name | Denise Beeching |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1366954489 PECOS PAC ID: 0345783346 Enrollment ID: I20240619000023 |
| Provider Name | Elizabeth Ruth Holtz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457368243 PECOS PAC ID: 4789127796 Enrollment ID: I20240619000442 |
| Provider Name | Robyn B Markham |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881284115 PECOS PAC ID: 8527501220 Enrollment ID: I20240624000189 |
| Provider Name | Megan Heniff |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1326526286 PECOS PAC ID: 2163965872 Enrollment ID: I20240624000241 |
| Provider Name | Erica Marie Bell |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1619484425 PECOS PAC ID: 5799228409 Enrollment ID: I20240624000270 |
| Provider Name | Margaret Ann Mckeon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316298961 PECOS PAC ID: 8224571849 Enrollment ID: I20240624001079 |
| Provider Name | Anna Katarina Berin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003335076 PECOS PAC ID: 6103369772 Enrollment ID: I20240624003935 |
| Provider Name | Sakina Crosby |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093472755 PECOS PAC ID: 4183167752 Enrollment ID: I20240624004020 |
| Provider Name | Baheia Allan Ahmad-derweesh |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164587432 PECOS PAC ID: 5799228227 Enrollment ID: I20240625001155 |
| Provider Name | Susan S Davis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811271679 PECOS PAC ID: 1355885765 Enrollment ID: I20240626003184 |
| Provider Name | Rachelle Leah Debehnke |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669048120 PECOS PAC ID: 5294279618 Enrollment ID: I20240626003459 |
| Provider Name | Scott Thomas Shippert |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053882704 PECOS PAC ID: 7618411802 Enrollment ID: I20240628001126 |
| Provider Name | Stephen Kaleb Pollum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508514894 PECOS PAC ID: 5294279238 Enrollment ID: I20240701002563 |
| Provider Name | Lourdes Reyes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952893752 PECOS PAC ID: 4789128638 Enrollment ID: I20240702002341 |
| Provider Name | Lasma Maher |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992344543 PECOS PAC ID: 1456895325 Enrollment ID: I20240702003040 |
| Provider Name | Julia Bauer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700374402 PECOS PAC ID: 8325582299 Enrollment ID: I20240702003161 |
| Provider Name | Lisa Gaye Fix |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336285493 PECOS PAC ID: 5698219459 Enrollment ID: I20240703002096 |
| Provider Name | Lori A Ashbaugh |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376286609 PECOS PAC ID: 3375087000 Enrollment ID: I20240704000353 |
| Provider Name | My Phon Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700175783 PECOS PAC ID: 4183936818 Enrollment ID: I20240704000459 |
| Provider Name | Ednina Welters |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841736592 PECOS PAC ID: 8628512373 Enrollment ID: I20240705000321 |
| Provider Name | Donna Newbold |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619567377 PECOS PAC ID: 4981043429 Enrollment ID: I20240705000575 |
| Provider Name | Katherine M Nimrod |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386313229 PECOS PAC ID: 3274077961 Enrollment ID: I20240705001853 |
| Provider Name | Sara Lynn Garl |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700242666 PECOS PAC ID: 3274078886 Enrollment ID: I20240708002718 |
| Provider Name | Anna Lucas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780305656 PECOS PAC ID: 9133580376 Enrollment ID: I20240709001757 |
| Provider Name | Bradley Gee |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710512280 PECOS PAC ID: 5496290736 Enrollment ID: I20240711001331 |
| Provider Name | Danielle Nicole Pertiller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780236240 PECOS PAC ID: 4688119787 Enrollment ID: I20240712002995 |
| Provider Name | Victoria Astrosky |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972064517 PECOS PAC ID: 0840735858 Enrollment ID: I20240715002410 |
| Provider Name | Stacy Jo Branda |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598514549 PECOS PAC ID: 8022553783 Enrollment ID: I20240717003360 |
| Provider Name | Susan Marie Costello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417704362 PECOS PAC ID: 3476098153 Enrollment ID: I20240717004296 |
| Provider Name | Dean Eric Rashkow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548015316 PECOS PAC ID: 2466997150 Enrollment ID: I20240717004817 |
| Provider Name | Suzanne Nicole Grey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992399968 PECOS PAC ID: 0547706616 Enrollment ID: I20240725000077 |
| Provider Name | Taylor Kiener |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104589100 PECOS PAC ID: 9830635937 Enrollment ID: I20240725001166 |
| Provider Name | Martina Lowery |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457190399 PECOS PAC ID: 2466999198 Enrollment ID: I20240731000499 |
| Provider Name | Elizabeth Fannin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174370548 PECOS PAC ID: 9436696911 Enrollment ID: I20240801002195 |
| Provider Name | Matthew Graden |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073229662 PECOS PAC ID: 9335686872 Enrollment ID: I20240801004212 |
| Provider Name | Taylor Mae Bonno |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164107124 PECOS PAC ID: 3173060019 Enrollment ID: I20240808003783 |
| Provider Name | Kara Lightbourne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922709575 PECOS PAC ID: 6204374192 Enrollment ID: I20240809001501 |
| Provider Name | Casey Ann Wallace |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346824331 PECOS PAC ID: 1254879646 Enrollment ID: I20240816000456 |
| Provider Name | Roseann Murray |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013168061 PECOS PAC ID: 3779021183 Enrollment ID: I20240816001076 |
| Provider Name | Melissa Long |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831708056 PECOS PAC ID: 3173061587 Enrollment ID: I20240816001332 |
| Provider Name | Stephanie Franzoni |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912559113 PECOS PAC ID: 5991243305 Enrollment ID: I20240816001341 |
| Provider Name | Ryan Michael Finley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750853214 PECOS PAC ID: 0941748271 Enrollment ID: I20240816002677 |
| Provider Name | Mansukh Sandhu |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477151942 PECOS PAC ID: 2163960402 Enrollment ID: I20240816002961 |
| Provider Name | Alexandra K Baxter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316718323 PECOS PAC ID: 6709324056 Enrollment ID: I20240816003496 |
| Provider Name | Ashley Elizabeth Rosales |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538604202 PECOS PAC ID: 4082032529 Enrollment ID: I20240817000120 |
| Provider Name | Laura Hill |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1811558240 PECOS PAC ID: 4789122896 Enrollment ID: I20240820001074 |
| Provider Name | Anjelica Joy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437643590 PECOS PAC ID: 2769920867 Enrollment ID: I20240821000197 |
| Provider Name | Rachel Danielle Hughes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902506058 PECOS PAC ID: 5395283394 Enrollment ID: I20240821000724 |
| Provider Name | Tasheia Lashay Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003677212 PECOS PAC ID: 0941748974 Enrollment ID: I20240821001883 |
| Provider Name | Sharon Stengel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457852196 PECOS PAC ID: 4789123555 Enrollment ID: I20240823002619 |
| Provider Name | Victoria Dawn Stoklosa-caldwell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972080935 PECOS PAC ID: 9537608328 Enrollment ID: I20240823003444 |
| Provider Name | Chung Hsin Hu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083089866 PECOS PAC ID: 5496294183 Enrollment ID: I20240826003485 |
| Provider Name | Samantha Nicole Lugo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669187639 PECOS PAC ID: 7416496963 Enrollment ID: I20240828001329 |
| Provider Name | Cassandra Jewell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467180091 PECOS PAC ID: 7012456510 Enrollment ID: I20240828003211 |
| Provider Name | Anastasia Zubek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326769266 PECOS PAC ID: 0648710491 Enrollment ID: I20240909001186 |
| Provider Name | Laura Kenward |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104431915 PECOS PAC ID: 7012457682 Enrollment ID: I20240910001651 |
| Provider Name | Madison Erica Maskalunas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992563118 PECOS PAC ID: 8022558592 Enrollment ID: I20240911000648 |
| Provider Name | Alicia K Gatti |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1760614549 PECOS PAC ID: 5496296568 Enrollment ID: I20240917003900 |
| Provider Name | Camelle Burlock |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164078341 PECOS PAC ID: 5991246936 Enrollment ID: I20240918002086 |
| Provider Name | Araceli Ascencio |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447080916 PECOS PAC ID: 1254872740 Enrollment ID: I20240924004044 |
| Provider Name | Kaitlyn Vranek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598482549 PECOS PAC ID: 8325579683 Enrollment ID: I20240927001351 |
| Provider Name | Melinda Rader |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710379227 PECOS PAC ID: 8820318819 Enrollment ID: I20241007002887 |
| Provider Name | Tamika Manson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932763018 PECOS PAC ID: 0840722237 Enrollment ID: I20241009004365 |
| Provider Name | Katherine Racine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275151250 PECOS PAC ID: 9739503004 Enrollment ID: I20241011001559 |
| Provider Name | Aaron Michael Peska |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194240127 PECOS PAC ID: 9830621960 Enrollment ID: I20241015000904 |
| Provider Name | Olushola Shobowale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245075506 PECOS PAC ID: 6709318835 Enrollment ID: I20241015001088 |
| Provider Name | Krystal Marie Fowlkes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891541470 PECOS PAC ID: 0648703991 Enrollment ID: I20241025001157 |
| Provider Name | Sarah Lesniak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144803149 PECOS PAC ID: 4981137841 Enrollment ID: I20241030002621 |
| Provider Name | Amy Louise Short |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578251765 PECOS PAC ID: 4183157779 Enrollment ID: I20241105000741 |
| Provider Name | Mistie Drews |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508331976 PECOS PAC ID: 5294269718 Enrollment ID: I20241106002757 |
| Provider Name | Adaobi Innocent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477384170 PECOS PAC ID: 1355875386 Enrollment ID: I20241113000435 |
| Provider Name | Adrienne Driscoll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053028555 PECOS PAC ID: 7618346792 Enrollment ID: I20241118001716 |
| Provider Name | Barbara Duran |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952033631 PECOS PAC ID: 5597290197 Enrollment ID: I20241119003827 |
| Provider Name | Darcy Ann Klika |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518707819 PECOS PAC ID: 8729513122 Enrollment ID: I20241121003779 |
| Provider Name | Nora June Durkin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295315869 PECOS PAC ID: 4486189719 Enrollment ID: I20241125000137 |
| Provider Name | Max Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548933146 PECOS PAC ID: 1153857693 Enrollment ID: I20241209000299 |
| Provider Name | Latrice Annette Maric |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780129536 PECOS PAC ID: 0446786867 Enrollment ID: I20241209003963 |
Evolve Therapy And Associates, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11259 Anvil Ct, Naperville, IL 60564 Phone: 630-383-1109 | |
Claudia Hantel Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1975 Saddle Farm Ln, Naperville, IL 60564 Phone: 630-730-4504 | |
Conscious Healing Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 W Jefferson Ave, Naperville, IL 60540 Phone: 630-701-0315 | |
Adrienne Adams Md And Associates, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1979 N Mill St, Suite 202, Naperville, IL 60563 Phone: 630-420-7660 | |
Soft Landing Interventins Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1601 Bond St, Naperville, IL 60563 Phone: 630-261-9220 Fax: 630-689-1786 | |