| Israel Illingworth, MA, LPC | |
|
2245 S State St, Ann Arbor, MI 48104-6184 | |
| (734) 769-0209 | |
| Not Available |
| Full Name | Israel Illingworth |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 2245 S State St, Ann Arbor, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447964887 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Entity Name | Jewish Family Services Of Washtenaw County Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558691162 PECOS PAC ID: 2769671106 Enrollment ID: O20110114001064 |
| Mailing Address | Practice Location Address |
|---|---|
| Israel Illingworth, MA, LPC 1060 Wiard Rd, Ypsilanti, MI 48198-4235 Ph: () - | Israel Illingworth, MA, LPC 2245 S State St, Ann Arbor, MI 48104-6184 Ph: (734) 769-0209 |
Ms. Robin Dawn Edison, MED, LPC, NCC, CAADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5656 Le Blanc Ave, Ann Arbor, MI 48103 Phone: 248-520-0880 | |
Maia Warren, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3840 Packard St Ste 270, Ann Arbor, MI 48108 Phone: 734-995-6755 | |
Samantha Schwartz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 333 Maynard St, Ann Arbor, MI 48104 Phone: 412-527-9128 | |
Erin Christina Egan, LMSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 2500 Packard St Ste 104a, Ann Arbor, MI 48104 Phone: 734-707-1052 Fax: 734-661-1887 | |
Mrs. Christine Ponce Miller, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3840 Packard St, Suite 220, Ann Arbor, MI 48108 Phone: 734-477-9999 Fax: 734-477-0955 | |
Erin E Bultema, Counselor Medicare: Medicare Enrolled Practice Location: 727 Miller Ave, Ann Arbor, MI 48103 Phone: 734-209-3727 | |
Dr. Robert Michael Ortega, MSW, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 555 S. Forest, Ann Arbor, MI 48104 Phone: 734-763-6576 Fax: 734-763-3372 |