| Breanna Hendricks, | |
|
6165 Nw 86th St, Johnston, IA 50131-2240 | |
| (515) 329-4792 | |
| Not Available |
| Full Name | Breanna Hendricks |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 6165 Nw 86th St, Johnston, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710359153 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 080127 (Iowa) | Primary |
| Entity Name | Compass Clinical Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295081941 PECOS PAC ID: 2062648017 Enrollment ID: O20131121000188 |
| Mailing Address | Practice Location Address |
|---|---|
| Breanna Hendricks, 430 Hartford Ave, Des Moines, IA 50315-1358 Ph: (708) 203-2127 | Breanna Hendricks, 6165 Nw 86th St, Johnston, IA 50131-2240 Ph: (515) 329-4792 |
Emily Marie Harsch, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6701 Corporate Dr Ste N, Johnston, IA 50131 Phone: 720-295-7420 | |
Kimberly Jean Ingram, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5415 Nw 88th St Ste 100, Johnston, IA 50131 Phone: 515-727-1338 | |
Mr. Jason Van Zee, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5415 Nw 88th St Ste 100, Johnston, IA 50131 Phone: 515-727-1338 | |
Cheryl Joy Moore, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5415 Nw 88th St, Johnston, IA 50131 Phone: 515-727-1338 Fax: 515-727-1340 | |
Shelby Benson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9105 Northpark Dr, Johnston, IA 50131 Phone: 515-984-0225 | |
Amy Joan Ziegenhorn, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6165 Nw 86th St Ofc 102, Johnston, IA 50131 Phone: 515-865-0689 | |
Charles Saunders, Counselor Medicare: Accepting Medicare Assignments Practice Location: 9105 Northpark Dr, Johnston, IA 50131 Phone: 515-984-0225 Fax: 515-984-0226 |