| Whalesong Counseling Llc | |
|
1330 Se 9th St Ste 1and2 Lincoln City OR 97367-2618 | |
| (541) 614-0294 | |
| (360) 844-5184 |
| Full Name | Whalesong Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 1330 Se 9th St Ste 1and2, Lincoln City, Oregon |
| Authorized Official Name and Position | Amy Young (OFFICE MANAGER/ADMINISTRATOR) |
| Authorized Official Contact | 3602107301 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Whalesong Counseling Llc 1616 Sw 36th St Lincoln City OR 97367 Ph: (971) 301-4666 | Whalesong Counseling Llc 1330 Se 9th St Ste 1and2 Lincoln City OR 97367-2618 Ph: (541) 614-0294 |
| NPI Number | 1619581931 |
|---|---|
| Provider Enumeration Date | 09/03/2020 |
| Last Update Date | 09/19/2024 |
| Certification Date | 09/04/2024 |
| Medicare PECOS PAC ID | 4082152996 |
|---|---|
| Medicare Enrollment ID | O20240809002122 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619581931 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| Provider Name | Jennifer E Crackenberg |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427381573 PECOS PAC ID: 6406387182 Enrollment ID: I20241004003007 |
| Provider Name | Steven G Collins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023375359 PECOS PAC ID: 9830620525 Enrollment ID: I20241004003126 |
| Provider Name | Sara Hvizdak |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609252865 PECOS PAC ID: 1951833060 Enrollment ID: I20241015000362 |
Chyril Walker Phd Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4466 Ne Devils Lake Blvd, Ste A, Lincoln City, OR 97367 Phone: 541-557-2400 Fax: 541-557-2399 |