| Insight Therapy | |
|
3362 Big Pine Trl Ste A Champaign IL 61822-1409 | |
| (217) 383-0151 | |
| (217) 633-4555 |
| Full Name | Insight Therapy |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 3362 Big Pine Trl Ste A, Champaign, Illinois |
| Authorized Official Name and Position | Kathleen El Koury (OWNER) |
| Authorized Official Contact | 2173830151 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Insight Therapy 3362 Big Pine Trl Ste A Champaign IL 61822-1409 Ph: (217) 383-0151 | Insight Therapy 3362 Big Pine Trl Ste A Champaign IL 61822-1409 Ph: (217) 383-0151 |
| NPI Number | 1275875346 |
|---|---|
| Provider Enumeration Date | 03/26/2013 |
| Last Update Date | 04/16/2024 |
| Certification Date | 04/16/2024 |
| Medicare PECOS PAC ID | 9133361819 |
|---|---|
| Medicare Enrollment ID | O20130808000456 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275875346 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 149014837 (Illinois) | Primary |
| Provider Name | Todd F Harrison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861411357 PECOS PAC ID: 8123111952 Enrollment ID: I20070910000558 |
| Provider Name | Kathleen E El Koury |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386923340 PECOS PAC ID: 1658543210 Enrollment ID: I20111004000727 |
| Provider Name | Angela M Overholt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144731316 PECOS PAC ID: 0749534857 Enrollment ID: I20181108000108 |
| Provider Name | Kristen M Pierce |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457979676 PECOS PAC ID: 3375917164 Enrollment ID: I20230317000770 |
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