| Jessica Gaines, | |
|
110 N Brockway St Ste 300, Palatine, IL 60067-5063 | |
| (847) 485-1640 | |
| Not Available |
| Full Name | Jessica Gaines |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 5 Years |
| Location | 110 N Brockway St Ste 300, Palatine, Illinois |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194536995 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 178.021057 (Illinois) | Primary |
| Entity Name | Mindful Support PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003689217 PECOS PAC ID: 3870936842 Enrollment ID: O20240206004209 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Gaines, 2550 Waterview Dr Unit 436, Northbrook, IL 60062-6368 Ph: Not Available | Jessica Gaines, 110 N Brockway St Ste 300, Palatine, IL 60067-5063 Ph: (847) 485-1640 |
Samantha Schroll, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 721 S Quentin Rd Ste 103, Palatine, IL 60067 Phone: 847-485-7490 |
Susan Allison, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 440 W Kerry Ct, Palatine, IL 60067 Phone: 847-508-7809 |
Ms. Marilyn Elaine Tulloch, L.C.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 E Northwest Hwy Ste 201, Palatine, IL 60067 Phone: 847-908-8700 |
Renie Stoller-zak, MA, LPC, NCC Counselor Medicare: Accepting Medicare Assignments Practice Location: 1961 N Hicks Rd, #209, Palatine, IL 60074 Phone: 847-826-1993 |
Indira Deciret Vences, Counselor Medicare: Not Enrolled in Medicare Practice Location: 119 E Palatine Rd Ste 207, Palatine, IL 60067 Phone: 847-450-6190 |
Kelly Dohan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1760 W Algonquin Rd, Palatine, IL 60067 Phone: 847-358-5510 |
Mr. Daniel Edward Frett, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 E Dundee Rd, Palatine, IL 60074 Phone: 630-915-6472 Fax: 847-991-7284 |