| Karli Johnson, LCPC, ATR | |
|
200 W Monroe St Ste C7, Bloomington, IL 61701 | |
| (309) 287-0610 | |
| Not Available |
| Full Name | Karli Johnson |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 200 W Monroe St Ste C7, Bloomington, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023525292 | NPI | - | NPPES |
| 14137156 | Other | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Entity Name | Creative Healing Art Therapy Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295221984 PECOS PAC ID: 0547602658 Enrollment ID: O20240521002404 |
| Mailing Address | Practice Location Address |
|---|---|
| Karli Johnson, LCPC, ATR 200 W. Monroe St. Box 23, Bloomington, IL 61701-3997 Ph: (309) 287-0610 | Karli Johnson, LCPC, ATR 200 W Monroe St Ste C7, Bloomington, IL 61701 Ph: (309) 287-0610 |
Mr. Bryan James Hinman, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 702 W Chestnut St, Bloomington, IL 61701 Phone: 309-557-1409 | |
William Douglas Portis, LCPC CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 808 S Eldorado Rd Ste 100c, Bloomington, IL 61704 Phone: 309-889-6222 | |
Victoria Fetter, Counselor Medicare: Medicare Enrolled Practice Location: 808 S Eldorado Rd Ste 102, Bloomington, IL 61704 Phone: 888-428-7890 Fax: 877-428-7891 | |
Timothy Robert Wright, Counselor Medicare: Not Enrolled in Medicare Practice Location: 108 W Market St, Bloomington, IL 61701 Phone: 309-827-5351 | |
Mr. Joshua Beckwith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 108 W Market St, Bloomington, IL 61701 Phone: 309-827-5351 Fax: 309-829-6808 | |
Mrs. Lisa Diane Neuweg, MA, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 702 W Chestnut St, Bloomington, IL 61701 Phone: 309-827-6026 | |
Mr. Harold Frank Piccinelli, M.S., L.C.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1003 Martin Luther King Dr, Bloomington, IL 61701 Phone: 309-827-6026 |