| Oakheart, Center For Counseling, Mediation, And Consultation, Llc | |
|
240 Edward St Sycamore IL 60178-2155 | |
| (630) 570-0050 | |
| Not Available |
| Full Name | Oakheart, Center For Counseling, Mediation, And Consultation, Llc |
|---|---|
| Speciality | Counselor |
| Location | 240 Edward St, Sycamore, Illinois |
| Authorized Official Name and Position | Katherine Harris (CO-OWNER) |
| Authorized Official Contact | 6305700050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oakheart, Center For Counseling, Mediation, And Consultation, Llc 66 Miller Dr Ste 105 North Aurora IL 60542-5144 Ph: (630) 570-0050 | Oakheart, Center For Counseling, Mediation, And Consultation, Llc 240 Edward St Sycamore IL 60178-2155 Ph: (630) 570-0050 |
| NPI Number | 1205328713 |
|---|---|
| Provider Enumeration Date | 05/31/2018 |
| Last Update Date | 10/22/2019 |
| Medicare PECOS PAC ID | 9335471523 |
|---|---|
| Medicare Enrollment ID | O20191021001390 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205328713 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Katherine L Harris |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982038071 PECOS PAC ID: 0840510947 Enrollment ID: I20150513000452 |
| Provider Name | Pamela L Heilman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447790977 PECOS PAC ID: 3375887839 Enrollment ID: I20181211000049 |
| Provider Name | Erin Mitchell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629349063 PECOS PAC ID: 2163765389 Enrollment ID: I20190509002541 |
| Provider Name | Megan E Noren |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144483306 PECOS PAC ID: 3870821564 Enrollment ID: I20190819003330 |
| Provider Name | Hillary Matyl Gorin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023417409 PECOS PAC ID: 1951772748 Enrollment ID: I20230112002841 |
| Provider Name | Anna Perkowski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144973652 PECOS PAC ID: 7113372418 Enrollment ID: I20231005003336 |
| Provider Name | Anthony Frank Fasano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225691579 PECOS PAC ID: 7618318049 Enrollment ID: I20240515003669 |
| Provider Name | Adam Ginsburg |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427670249 PECOS PAC ID: 8224570585 Enrollment ID: I20240603001614 |
Association For Individual Development Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 350 Grant St, Sycamore, IL 60178 Phone: 630-966-4475 | |
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Sageful Counseling & Consulting Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 122 S Locust St, Mailbox #4, Sycamore, IL 60178 Phone: 815-570-9179 Fax: 833-463-2398 |