| Lifepath Therapy Associates, Llc | |
|
25 E Washington St Ste 1837 Chicago IL 60602-1708 | |
| (773) 413-9389 | |
| Not Available |
| Full Name | Lifepath Therapy Associates, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 25 E Washington St Ste 1837, Chicago, Illinois |
| Authorized Official Name and Position | Kimberly Vander Griend (CO-OWNER/PSYCHOTHERAPIST) |
| Authorized Official Contact | 7734138389 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifepath Therapy Associates, Llc 25 E Washington St Ste 910 Chicago IL 60602-1717 Ph: (773) 413-9389 | Lifepath Therapy Associates, Llc 25 E Washington St Ste 1837 Chicago IL 60602-1708 Ph: (773) 413-9389 |
| NPI Number | 1629636394 |
|---|---|
| Provider Enumeration Date | 05/29/2019 |
| Last Update Date | 05/29/2019 |
| Medicare PECOS PAC ID | 7911333703 |
|---|---|
| Medicare Enrollment ID | O20200616001534 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629636394 | NPI | - | NPPES |
| Provider Name | Anuradha Spain |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306174099 PECOS PAC ID: 4183853237 Enrollment ID: I20140212001199 |
| Provider Name | Colten D Coffin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891208419 PECOS PAC ID: 7911314364 Enrollment ID: I20210331000574 |
| Provider Name | John H Lionberger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689312282 PECOS PAC ID: 1456730936 Enrollment ID: I20220614002928 |
| Provider Name | Sarah C Morgan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821629072 PECOS PAC ID: 2567845845 Enrollment ID: I20220818003357 |
| Provider Name | Anya R Drew |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750950143 PECOS PAC ID: 3274918222 Enrollment ID: I20220913000061 |
| Provider Name | Lauren R Pavelle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801201876 PECOS PAC ID: 7012384191 Enrollment ID: I20221102001148 |
| Provider Name | Deanna R Pacelli |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073097648 PECOS PAC ID: 1759755150 Enrollment ID: I20230330001996 |
| Provider Name | Samantha E Perry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023624160 PECOS PAC ID: 2062878036 Enrollment ID: I20230517000816 |
| Provider Name | Kiernan J Wright |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932876042 PECOS PAC ID: 5991154155 Enrollment ID: I20231213001219 |
| Provider Name | Paige A Burk |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598432841 PECOS PAC ID: 7517316466 Enrollment ID: I20231218001956 |
| Provider Name | Sacha M Olan |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1639786973 PECOS PAC ID: 6305281791 Enrollment ID: I20240226000582 |
| Provider Name | Alicia A Wilson-thomas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053961524 PECOS PAC ID: 6305295247 Enrollment ID: I20240228003895 |
| Provider Name | Allison Mozdzen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003453895 PECOS PAC ID: 1254771777 Enrollment ID: I20240501002769 |
| Provider Name | Payton M Willis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598364788 PECOS PAC ID: 1355883976 Enrollment ID: I20240610003718 |
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 |