| Deanna R Blyth, LPC | |
|
3513 Cricket Ave, New Lenox, IL 60451-9785 | |
| (815) 351-0208 | |
| Not Available |
| Full Name | Deanna R Blyth |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 3513 Cricket Ave, New Lenox, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295370930 | NPI | - | NPPES |
| 178015369 | Other | IL | ILLINOIS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 178015369 (Illinois) | Primary |
| Entity Name | The Juniper Center Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902906324 PECOS PAC ID: 1557557725 Enrollment ID: O20101130000757 |
| Entity Name | Great Changes Counseling Services, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205137346 PECOS PAC ID: 3375718604 Enrollment ID: O20111214000693 |
| Mailing Address | Practice Location Address |
|---|---|
| Deanna R Blyth, LPC 3513 Cricket Ave, New Lenox, IL 60451-9785 Ph: (815) 351-0208 | Deanna R Blyth, LPC 3513 Cricket Ave, New Lenox, IL 60451-9785 Ph: (815) 351-0208 |
Daniel L Parrish, Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 Gougar Rd, New Lenox, IL 60451 Phone: 708-845-5500 | |
Nicole Mejstrik, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1361 E Lincoln Hwy, New Lenox, IL 60451 Phone: 815-462-4273 | |
Mr. Matthew Edward Littlefield, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2081 Calistoga Dr Ste 2s, New Lenox, IL 60451 Phone: 815-418-6070 | |
Amanda Tomaszewski, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 701 Central Rd, New Lenox, IL 60451 Phone: 512-351-1414 | |
Michelle Verheyen, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Batson Ct Ste 206, New Lenox, IL 60451 Phone: 815-409-5940 Fax: 815-206-8012 | |
Kelsey Kay, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1938 E Lincoln Hwy # 207b, New Lenox, IL 60451 Phone: 815-314-4402 Fax: 815-277-1277 | |
Matthew Tevere, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1938 E Lincoln Hwy Unit 219, New Lenox, IL 60451 Phone: 815-320-3749 |