| Samaritan Interfaith Counseling Center Inc. | |
|
1819 Bay Scott Cir Ste 109 Naperville IL 60540-1130 | |
| (630) 357-2456 | |
| (630) 357-2482 |
| Full Name | Samaritan Interfaith Counseling Center Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 1819 Bay Scott Cir Ste 109, Naperville, Illinois |
| Authorized Official Name and Position | Scott Mitchell (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6303572456 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Samaritan Interfaith Counseling Center Inc. 1819 Bay Scott Cir Ste 109 Naperville IL 60540-1130 Ph: (630) 357-2456 | Samaritan Interfaith Counseling Center Inc. 1819 Bay Scott Cir Ste 109 Naperville IL 60540-1130 Ph: (630) 357-2456 |
| NPI Number | 1497842983 |
|---|---|
| Provider Enumeration Date | 10/06/2006 |
| Last Update Date | 06/21/2018 |
| Medicare PECOS PAC ID | 8426014994 |
|---|---|
| Medicare Enrollment ID | O20041207000048 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497842983 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071-004701 (Illinois) | Primary |
| Provider Name | Monica Guilhot Chartrand |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184716896 PECOS PAC ID: 4880797620 Enrollment ID: I20070315000007 |
| Provider Name | Jaimee Ory |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366599623 PECOS PAC ID: 6800992371 Enrollment ID: I20070430000057 |
| Provider Name | Andrew C Nichols |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821161787 PECOS PAC ID: 5092816066 Enrollment ID: I20070720000110 |
| Provider Name | Kathleen M Philben |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851446645 PECOS PAC ID: 2466540083 Enrollment ID: I20071115000430 |
| Provider Name | Charlene M Slezak |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376635011 PECOS PAC ID: 0345364147 Enrollment ID: I20100831000835 |
| Provider Name | Starlene M Kelley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487959847 PECOS PAC ID: 5597934588 Enrollment ID: I20110809000148 |
| Provider Name | Jeffrey L Santee |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457424400 PECOS PAC ID: 8022285279 Enrollment ID: I20120111000762 |
| Provider Name | Anna P Mackender |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285862284 PECOS PAC ID: 4688813181 Enrollment ID: I20130613000152 |
| Provider Name | Michael W Bradburn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205140811 PECOS PAC ID: 4880836873 Enrollment ID: I20130802000829 |
| Provider Name | Stacey M Schulte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194155861 PECOS PAC ID: 1557593613 Enrollment ID: I20140404000330 |
| Provider Name | Stephanie R Griswold |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457614802 PECOS PAC ID: 8628374550 Enrollment ID: I20160302002264 |
| Provider Name | Scott Mitchell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215024757 PECOS PAC ID: 1153387626 Enrollment ID: I20160815001870 |
| Provider Name | Donna R Fletcher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912318494 PECOS PAC ID: 5991072688 Enrollment ID: I20170531001510 |
| Provider Name | Cynthia G Penne |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164066528 PECOS PAC ID: 6002240264 Enrollment ID: I20191220000869 |
| Provider Name | Rebecca Durkin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053632737 PECOS PAC ID: 3971721960 Enrollment ID: I20200730000900 |
| Provider Name | Adana Cranfield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386245769 PECOS PAC ID: 1557779071 Enrollment ID: I20210422001994 |
| Provider Name | Natalie A S Potts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528724267 PECOS PAC ID: 5496148363 Enrollment ID: I20220217001269 |
| Provider Name | Penny L. Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033857958 PECOS PAC ID: 5890177224 Enrollment ID: I20220802003014 |
| Provider Name | William G Ressl |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326785973 PECOS PAC ID: 0143602581 Enrollment ID: I20220829001454 |
| Provider Name | Kary Marie Pekarek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316377120 PECOS PAC ID: 1557732849 Enrollment ID: I20230124003174 |
| Provider Name | Krystel Segovia |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154034650 PECOS PAC ID: 4981076536 Enrollment ID: I20230208002744 |
| Provider Name | Genalin Go Niere-metcalf |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639451057 PECOS PAC ID: 3173995206 Enrollment ID: I20230217001299 |
| Provider Name | Jeremy Omerod |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457558561 PECOS PAC ID: 0749620235 Enrollment ID: I20240501001423 |
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