| Christina Kittstein, LLC | |
|
6209 E Main St, Maryville, IL 62062-2015 | |
| (618) 979-7301 | |
| (888) 972-8757 |
| Full Name | Christina Kittstein |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 6209 E Main St, Maryville, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518073683 | NPI | - | NPPES |
| 551406 | Other | IL | VALUE OPTIONS |
| 06032112 | Other | IL | BC/BS OF ILLINOIS |
| 201674 | Other | IL | BC/BS OF MISSOURI |
| 7431733 | Other | IL | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | 180-003952 (Illinois) | Primary |
| Entity Name | Christina Kittstein,llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427670819 PECOS PAC ID: 1153762554 Enrollment ID: O20240516001706 |
| Mailing Address | Practice Location Address |
|---|---|
| Christina Kittstein, LLC 10104 State Route 4, Lebanon, IL 62254-2612 Ph: (618) 979-7301 | Christina Kittstein, LLC 6209 E Main St, Maryville, IL 62062-2015 Ph: (618) 979-7301 |
Jean Mcgurk O'brien, M.A., LCPC, NCC Counselor Medicare: Medicare Enrolled Practice Location: 3 Oak Dr Ste B, Maryville, IL 62062 Phone: 618-514-1386 Fax: 309-323-0475 | |
Kathi Wallace, L.C.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 5 Schiber Ct Ste D, Maryville, IL 62062 Phone: 314-626-4285 | |
Mr. Marcus A. Piper, M.S., L.C.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 20 Professional Park Dr # A, Maryville, IL 62062 Phone: 618-210-2039 Fax: 618-288-0737 | |
Mrs. Rebecca Leigh Salah, MA, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2148 Vadalabene Dr, Maryville, IL 62062 Phone: 618-288-3100 | |
Robin Turner-viviano, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2016 Vadalabene Dr, Suite A, Maryville, IL 62062 Phone: 618-250-2115 | |
Melissa S Jordan-murphy, LCPC CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6201 W Main St, Suite110, Maryville, IL 62062 Phone: 618-343-6230 | |
Kathryn Schiber, MSW, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 2921 Maryville Rd Ste B, Maryville, IL 62062 Phone: 618-484-9337 Fax: 618-484-9353 |