| Inclusive Insight Psychotherapy & Consulting | |
|
840 W Irving Park Rd Ste 302 Chicago IL 60613-3011 | |
| (773) 659-9207 | |
| (773) 275-3880 |
| Full Name | Inclusive Insight Psychotherapy & Consulting |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 840 W Irving Park Rd Ste 302, Chicago, Illinois |
| Authorized Official Name and Position | Laura Lynn Grimes (OWNER) |
| Authorized Official Contact | 7736599207 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inclusive Insight Psychotherapy & Consulting 840 W Irving Park Rd Ste 302 Chicago IL 60613-3011 Ph: (773) 659-9207 | Inclusive Insight Psychotherapy & Consulting 840 W Irving Park Rd Ste 302 Chicago IL 60613-3011 Ph: (773) 659-9207 |
| NPI Number | 1407381064 |
|---|---|
| Provider Enumeration Date | 04/20/2017 |
| Last Update Date | 03/31/2020 |
| Certification Date | 03/31/2020 |
| Medicare PECOS PAC ID | 4880937903 |
|---|---|
| Medicare Enrollment ID | O20190513001970 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407381064 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 149009417 (Illinois) | Primary |
| Provider Name | Laura L Grimes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356329080 PECOS PAC ID: 5496854333 Enrollment ID: I20070619000168 |
| Provider Name | James J Cosenza |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508080862 PECOS PAC ID: 7416057302 Enrollment ID: I20070706000215 |
| Provider Name | Jacqueline R Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316281603 PECOS PAC ID: 6103061056 Enrollment ID: I20130325000117 |
| Provider Name | Sylvia B Corcoran |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720113038 PECOS PAC ID: 5193968162 Enrollment ID: I20130823001059 |
| Provider Name | Maeve A Raphelson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104290865 PECOS PAC ID: 1951697440 Enrollment ID: I20160909000710 |
| Provider Name | Rebekah Ann Ray Nguyen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992216428 PECOS PAC ID: 0143575589 Enrollment ID: I20180626001839 |
| Provider Name | Thomas Fransen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205962321 PECOS PAC ID: 7214271246 Enrollment ID: I20181203001627 |
| Provider Name | Meredith Price Farster |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972000230 PECOS PAC ID: 9133455579 Enrollment ID: I20190723003607 |
| Provider Name | Dale W Roberson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306437629 PECOS PAC ID: 2062827751 Enrollment ID: I20210210000674 |
| Provider Name | Richard Allen Jentzen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487883690 PECOS PAC ID: 7113335563 Enrollment ID: I20210423000479 |
| Provider Name | Eleni M Marsh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215468046 PECOS PAC ID: 4284030040 Enrollment ID: I20210902003113 |
| Provider Name | Kimberly Davidson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730838715 PECOS PAC ID: 9032590864 Enrollment ID: I20220725002892 |
| Provider Name | Emily Moquin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861062614 PECOS PAC ID: 4981072071 Enrollment ID: I20221121002660 |
| Provider Name | Christopher Tennant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316578222 PECOS PAC ID: 5991177842 Enrollment ID: I20230202002109 |
| Provider Name | Lorilei Kaye Baker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447780648 PECOS PAC ID: 7113283011 Enrollment ID: I20230817001393 |
| Provider Name | Jamille Edwards |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073145702 PECOS PAC ID: 1557713005 Enrollment ID: I20240119002172 |
| Provider Name | Cara Ugolino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306539846 PECOS PAC ID: 6901243583 Enrollment ID: I20240319000251 |
| Provider Name | Adam Lundgren Ouanes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427657782 PECOS PAC ID: 8022455955 Enrollment ID: I20240327000908 |
| Provider Name | Regina D Jones-ogunsuyi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245016070 PECOS PAC ID: 5193162915 Enrollment ID: I20240328000248 |
| Provider Name | Loryn Chas Kimbrough |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376318972 PECOS PAC ID: 3678915220 Enrollment ID: I20240528002480 |
| Provider Name | Joy Powell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134891401 PECOS PAC ID: 1254773518 Enrollment ID: I20240531002312 |
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 |