| Qc Counselor Plc | |
|
2028 E 38th St Ste 3 Davenport IA 52807-1168 | |
| (563) 424-2016 | |
| (563) 424-2017 |
| Full Name | Qc Counselor Plc |
|---|---|
| Speciality | Counselor |
| Location | 2028 E 38th St Ste 3, Davenport, Iowa |
| Authorized Official Name and Position | Matthew John Martenson (OWNER) |
| Authorized Official Contact | 5634242016 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Qc Counselor Plc 2028 E 38th St Suite 3 Davenport IA 52807-1168 Ph: (563) 424-2016 | Qc Counselor Plc 2028 E 38th St Ste 3 Davenport IA 52807-1168 Ph: (563) 424-2016 |
| NPI Number | 1285919977 |
|---|---|
| Provider Enumeration Date | 10/13/2011 |
| Last Update Date | 12/28/2023 |
| Certification Date | 12/28/2023 |
| Medicare PECOS PAC ID | 9537510730 |
|---|---|
| Medicare Enrollment ID | O20240112000654 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285919977 | NPI | - | NPPES |
| 11087500000 | Medicaid | IA | |
| 1285919977 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 00728 (Iowa) | Primary |
| Provider Name | Jayne E Naughton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679923734 PECOS PAC ID: 3072847052 Enrollment ID: I20190625002063 |
| Provider Name | Matthew John Martenson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275088114 PECOS PAC ID: 0446601645 Enrollment ID: I20240112001104 |
| Provider Name | Mollie Ann Schmelzer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700138120 PECOS PAC ID: 8426400664 Enrollment ID: I20240123003977 |
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