| Summit Counseling | |
|
2919 Crossing Court Suite 13 Champaign IL 61822-5903 | |
| (217) 861-4063 | |
| (217) 864-8919 |
| Full Name | Summit Counseling |
|---|---|
| Speciality | Social Worker |
| Location | 2919 Crossing Court, Champaign, Illinois |
| Authorized Official Name and Position | Tami Namey (OWNER) |
| Authorized Official Contact | 2174874522 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Counseling P.o. Box 17 Savoy IL 61874-0717 Ph: (217) 861-4063 | Summit Counseling 2919 Crossing Court Suite 13 Champaign IL 61822-5903 Ph: (217) 861-4063 |
| NPI Number | 1922442110 |
|---|---|
| Provider Enumeration Date | 04/18/2013 |
| Last Update Date | 10/03/2024 |
| Medicare PECOS PAC ID | 8729224670 |
|---|---|
| Medicare Enrollment ID | O20130418000476 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922442110 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149011325 (Illinois) | Primary |
| Provider Name | Tami E Knell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205039799 PECOS PAC ID: 5193824050 Enrollment ID: I20070619000363 |
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