| Jessica Krakowsky, LCPC | |
|
16335 Harlem Ave Ste 150-4, Tinley Park, IL 60477-2574 | |
| (708) 407-9532 | |
| Not Available |
| Full Name | Jessica Krakowsky |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 16335 Harlem Ave Ste 150-4, Tinley Park, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801254263 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180.009553 (Illinois) | Primary |
| Entity Name | Genesis Therapy Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447264890 PECOS PAC ID: 9436461720 Enrollment ID: O20150629002166 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Krakowsky, LCPC 14809 Sunset Ave, Oak Forest, IL 60452-1232 Ph: (708) 577-3288 | Jessica Krakowsky, LCPC 16335 Harlem Ave Ste 150-4, Tinley Park, IL 60477-2574 Ph: (708) 407-9532 |
Kimberly Pinkston, LCPC, CADC, BC-DMT Counselor Medicare: Not Enrolled in Medicare Practice Location: 8041 186th St Ste B, Tinley Park, IL 60487 Phone: 815-310-1582 |
Elizabeth Anne Ciukaj, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6825 167th St, Tinley Park, IL 60477 Phone: 708-414-6117 |
Yosafe Gholar, Counselor Medicare: Not Enrolled in Medicare Practice Location: 16335 Harlem Ave, Tinley Park, IL 60477 Phone: 708-575-3224 |
Mrs. Lynn Wachtel Shapiro, MSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 17732 Oak Park Ave, Tinley Park, IL 60477 Phone: 708-342-1773 Fax: 708-342-1780 |
Dorlisa Bethany, Counselor Medicare: Not Enrolled in Medicare Practice Location: 17746 Oak Park Ave, Tinley Park, IL 60477 Phone: 708-444-1012 |
Diane Wendt, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8200 W 185th St., Suite 17, Tinley Park, IL 60477 Phone: 708-560-3801 |
Katelynn Ramos, Counselor Medicare: Not Enrolled in Medicare Practice Location: 16335 Harlem Ave Ste 150, Tinley Park, IL 60477 Phone: 708-462-2458 |