| Serendipity Counseling Services, Inc | |
|
1755 Park St Naperville IL 60563-4861 | |
| (630) 423-5935 | |
| Not Available |
| Full Name | Serendipity Counseling Services, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1755 Park St, Naperville, Illinois |
| Authorized Official Name and Position | Jennifer Dicostanzo (OWNER) |
| Authorized Official Contact | 6308667393 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Serendipity Counseling Services, Inc 1755 Park St Naperville IL 60563-4861 Ph: () - | Serendipity Counseling Services, Inc 1755 Park St Naperville IL 60563-4861 Ph: (630) 423-5935 |
| NPI Number | 1164908547 |
|---|---|
| Provider Enumeration Date | 07/18/2018 |
| Last Update Date | 11/10/2022 |
| Certification Date | 11/10/2022 |
| Medicare PECOS PAC ID | 0648643973 |
|---|---|
| Medicare Enrollment ID | O20230307001087 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164908547 | NPI | - | NPPES |
| 1487072070 | Other | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 149.018138 (Illinois) | Primary |
| Provider Name | Jennifer L Dicostanzo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487072070 PECOS PAC ID: 7315237435 Enrollment ID: I20160602000263 |
| Provider Name | Katherine M Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750939476 PECOS PAC ID: 6204166671 Enrollment ID: I20190927000191 |
| Provider Name | Amrit K Singh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477274538 PECOS PAC ID: 3870960529 Enrollment ID: I20221109001179 |
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