| Jeremy Phelps, | |
|
970 S Mchenry Ave, Crystal Lake, IL 60014-7449 | |
| (815) 322-9823 | |
| (815) 455-7510 |
| Full Name | Jeremy Phelps |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 4 Years |
| Location | 970 S Mchenry Ave, Crystal Lake, Illinois |
| 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 |
|---|---|---|---|
| 1376252007 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 180017263 (Illinois) | Primary |
| Entity Name | Telos Counseling Services PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861376238 PECOS PAC ID: 6406323260 Enrollment ID: O20260429002384 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeremy Phelps, 970 S Mchenry Ave, Crystal Lake, IL 60014-7449 Ph: (815) 322-9823 | Jeremy Phelps, 970 S Mchenry Ave, Crystal Lake, IL 60014-7449 Ph: (815) 322-9823 |
Ms. Kelly Lynne Canavan, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 650 E Terra Cotta Avenue, Unit 103, Crystal Lake, IL 60014 Phone: 815-979-2580 Fax: 815-354-3517 |
Jorge Roman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 650 Dakota St Ste A, Crystal Lake, IL 60012 Phone: 815-334-5018 Fax: 815-356-1104 |
Ms. Stacey A Coleman, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 900 Pyott Rd Ste 102, Crystal Lake, IL 60014 Phone: 815-444-9076 Fax: 815-444-9079 |
Mr. Frank Morales, CRADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 N Virginia St, Crystal Lake, IL 60014 Phone: 815-459-0499 Fax: 815-788-0115 |
Simona Atanassova, Counselor Medicare: Not Enrolled in Medicare Practice Location: 185 Heritage Dr, Crystal Lake, IL 60014 Phone: 815-477-4727 |
Michelle Marie Delarosa, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 377 W Virginia St, Crystal Lake, IL 60014 Phone: 815-707-4806 |
Susan Charles, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 610 Crystal Point Dr Ste 3, Crystal Lake, IL 60014 Phone: 815-981-1979 |