| Jon Decker, | |
|
1690 Elm St Ste 300, Dubuque, IA 52001-3679 | |
| (563) 690-2403 | |
| Not Available |
| Full Name | Jon Decker |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 17 Years |
| Location | 1690 Elm St Ste 300, Dubuque, Iowa |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881016137 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 001524 (Iowa) | Secondary |
| 101YM0800X | Counselor - Mental Health | 001524 (Iowa) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Crescent Community Health Center | 0345343158 | 17 |
| Entity Name | Crescent Community Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720146319 PECOS PAC ID: 0345343158 Enrollment ID: O20070806000462 |
| Mailing Address | Practice Location Address |
|---|---|
| Jon Decker, 1690 Elm St Ste 300, Dubuque, IA 52001-3679 Ph: (563) 690-2403 | Jon Decker, 1690 Elm St Ste 300, Dubuque, IA 52001-3679 Ph: (563) 690-2403 |
Richelle C Bouska, MHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2254 Flint Hill Dr Ste 2, Dubuque, IA 52003 Phone: 563-258-2657 | |
Matthew David Leifker, MS, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 799 Main St Ste 110, Dubuque, IA 52001 Phone: 563-582-3784 Fax: 563-582-4006 | |
Sabrina Vonderhaar, LMHC, IADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 250 Mercy Dr, Dubuque, IA 52001 Phone: 563-589-8087 Fax: 563-589-8297 | |
Mrs. Kristin Camille Nolen, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Mercy Dr Ste 200, Dubuque, IA 52001 Phone: 563-582-0145 Fax: 563-582-0722 | |
Alison Deborah Schneider, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 505 Cedar Cross Rd, Dubuque, IA 52003 Phone: 563-307-1553 | |
Sophie Rossman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 210 Jones St Ste 210, Dubuque, IA 52001 Phone: 563-543-7634 | |
Mrs. Genevieve A Balajadia, MA, T-CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 799 Main St Ste 110, Dubuque, IA 52001 Phone: 563-582-3784 Fax: 563-582-4006 |