| Jan S Kucera, LPCC | |
|
25 Orchard Park, Tiffin, OH 44883-3430 | |
| (419) 448-9477 | |
| Not Available |
| Full Name | Jan S Kucera |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 32 Years |
| Location | 25 Orchard Park, Tiffin, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700095635 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | E-2525 (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lutheran Social Services Of Northwestern Ohio | 4587562533 | 3 |
| Entity Name | Lutheran Social Services Of Northwestern Ohio |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750467916 PECOS PAC ID: 4587562533 Enrollment ID: O20031229000632 |
| Mailing Address | Practice Location Address |
|---|---|
| Jan S Kucera, LPCC 25 Orchard Park, Tiffin, OH 44883-3430 Ph: (419) 448-9477 | Jan S Kucera, LPCC 25 Orchard Park, Tiffin, OH 44883-3430 Ph: (419) 448-9477 |
Mrs. Robin Gaye Stufflebean, RN PC LICDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 76 Ashwood Dr, Tiffin, OH 44883 Phone: 419-448-9440 Fax: 419-448-5155 | |
Pamela Faber, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 481 W Perry St, Tiffin, OH 44883 Phone: 419-447-6855 | |
Mary Burgess Todd, MA, PC, CFC Counselor Medicare: Not Enrolled in Medicare Practice Location: 777 S Washington St, Tiffin, OH 44883 Phone: 419-448-4094 Fax: 419-448-4095 | |
Mr. Lawrence Daniel George, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 250 W Woodmere Dr, Tiffin, OH 44883 Phone: 419-447-3557 | |
Mr. Russell Ray Exlos-raber, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 777 S Washington St, Tiffin, OH 44883 Phone: 419-448-4094 | |
Christine Marie Farris, LCDC III Counselor Medicare: Not Enrolled in Medicare Practice Location: 65 Saint Francis Ave, Tiffin, OH 44883 Phone: 567-220-7018 | |
Jennifer Damm, Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 Melmore St, Tiffin, OH 44883 Phone: 419-447-8111 Fax: 419-447-8158 |