| Institute For Human Resources Of Livingston County, Il | |
|
920 W Custer Ave Pontiac IL 61764-1067 | |
| (815) 844-6109 | |
| (815) 844-3561 |
| Full Name | Institute For Human Resources Of Livingston County, Il |
|---|---|
| Speciality | Clinic/Center |
| Location | 920 W Custer Ave, Pontiac, Illinois |
| Authorized Official Name and Position | Jenny Rae Larkin (BUSINESS MANAGER) |
| Authorized Official Contact | 8158446109 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Institute For Human Resources Of Livingston County, Il Po Box 768 Pontiac IL 61764-0768 Ph: (815) 844-6109 | Institute For Human Resources Of Livingston County, Il 920 W Custer Ave Pontiac IL 61764-1067 Ph: (815) 844-6109 |
| NPI Number | 1649239674 |
|---|---|
| Provider Enumeration Date | 03/20/2006 |
| Last Update Date | 06/27/2024 |
| Certification Date | 06/27/2024 |
| Medicare PECOS PAC ID | 7810066511 |
|---|---|
| Medicare Enrollment ID | O20080521000463 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649239674 | NPI | - | NPPES |
| 04079 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | William F Puga |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427011170 PECOS PAC ID: 1658331202 Enrollment ID: I20041101000934 |
| Provider Name | Jessica J Siwak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477828713 PECOS PAC ID: 3476716267 Enrollment ID: I20120514000728 |
| Provider Name | Briana R Flori |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275198103 PECOS PAC ID: 6204179039 Enrollment ID: I20190520001296 |
| Provider Name | Jennifer L Elzey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700384641 PECOS PAC ID: 6709213887 Enrollment ID: I20200302002187 |
| Provider Name | Kevin T Steidinger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477106003 PECOS PAC ID: 5597150185 Enrollment ID: I20220317001449 |
| Provider Name | Joseph Dale Vaughan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508873381 PECOS PAC ID: 2163748054 Enrollment ID: I20230530000733 |
Positive Direction Counseling, Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 305 N Mill St, Pontiac, IL 61764 Phone: 815-822-5133 Fax: 815-513-6170 | |
Frizzell Counseling Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 E Howard St, Pontiac, IL 61764 Phone: 815-791-2295 | |
At Home Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 417 W Water St, Pontiac, IL 61764 Phone: 815-842-1563 | |
Futures Unlimited, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 E Torrance Ave, Pontiac, IL 61764 Phone: 815-842-1122 Fax: 815-842-2728 | |
Kind Living Therapy, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 W Water St Ste 1, Pontiac, IL 61764 Phone: 815-844-2644 | |
Futures Unlimited, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 E Torrance Ave, Pontiac, IL 61764 Phone: 815-842-1122 |