| Innovative Counseling Partners Llc | |
|
715 Lake St Ste 806 Oak Park IL 60301-1417 | |
| (312) 343-7400 | |
| Not Available |
| Full Name | Innovative Counseling Partners Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 715 Lake St Ste 806, Oak Park, Illinois |
| Authorized Official Name and Position | Jennifer Froemel (CEO/OWNER) |
| Authorized Official Contact | 3123437400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Counseling Partners Llc 715 Lake St Ste 800 Oak Park IL 60301-1417 Ph: () - | Innovative Counseling Partners Llc 715 Lake St Ste 806 Oak Park IL 60301-1417 Ph: (312) 343-7400 |
| NPI Number | 1437563798 |
|---|---|
| Provider Enumeration Date | 06/16/2014 |
| Last Update Date | 01/03/2022 |
| Certification Date | 01/03/2022 |
| Medicare PECOS PAC ID | 0749605830 |
|---|---|
| Medicare Enrollment ID | O20200806001773 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437563798 | NPI | - | NPPES |
| 248001003 | Medicaid | IL |
| Provider Name | Brenda Leonor Flores |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083955595 PECOS PAC ID: 5395094981 Enrollment ID: I20180815000424 |
| Provider Name | Alison Possehl |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295389955 PECOS PAC ID: 9638596802 Enrollment ID: I20200902001643 |
| Provider Name | Erica Negrete-sassolino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699317297 PECOS PAC ID: 0042639700 Enrollment ID: I20200929002709 |
| Provider Name | Victoria Elizabeth Bruner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316004138 PECOS PAC ID: 7315357118 Enrollment ID: I20201106000119 |
| Provider Name | Jennifer Allen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356840227 PECOS PAC ID: 3678984424 Enrollment ID: I20201130001166 |
| Provider Name | Megan E Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023538915 PECOS PAC ID: 2264841279 Enrollment ID: I20210504000817 |
| Provider Name | Amy Hart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972015568 PECOS PAC ID: 3375946650 Enrollment ID: I20210723001798 |
| Provider Name | Robert Emmett Davies |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932621489 PECOS PAC ID: 5496147134 Enrollment ID: I20220110000910 |
| Provider Name | Stephanie M Villarreal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558077453 PECOS PAC ID: 7113392283 Enrollment ID: I20230404001563 |
| Provider Name | Jennifer C Froemel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790749620 PECOS PAC ID: 2466877550 Enrollment ID: I20240104003428 |
| Provider Name | Jasmine L Banner - Hubbard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164971909 PECOS PAC ID: 8820432511 Enrollment ID: I20240221002627 |
| Provider Name | Megan Michelle Connors |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316564487 PECOS PAC ID: 5890130967 Enrollment ID: I20240228002322 |
| Provider Name | Sidia Nayeli Diaz De Bernt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457868366 PECOS PAC ID: 0345685434 Enrollment ID: I20240228003021 |
| Provider Name | Stephanie Elaine Yunez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932759172 PECOS PAC ID: 7315382405 Enrollment ID: I20240228003107 |
| Provider Name | Yun-chu Chen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427336262 PECOS PAC ID: 8921443029 Enrollment ID: I20240228003256 |
| Provider Name | Kayla Pedraza |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700498003 PECOS PAC ID: 6406295906 Enrollment ID: I20240417000855 |
| Provider Name | Karina Breezer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083253629 PECOS PAC ID: 9234579855 Enrollment ID: I20240430002698 |
| Provider Name | Rasa Ruzgys |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629452958 PECOS PAC ID: 5698116549 Enrollment ID: I20240509003144 |
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