| Krista Ann Taylor, LCPC | |
|
2512 Hurst Dr, Mattoon, IL 61938-9200 | |
| (217) 258-7590 | |
| (217) 258-3686 |
| Full Name | Krista Ann Taylor |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 2512 Hurst Dr, Mattoon, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194096784 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 180007985 (Illinois) | Secondary |
| 101YP2500X | Counselor - Professional | 180007985 (Illinois) | Primary |
| Entity Name | Hoopeston Community Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043683014 PECOS PAC ID: 3577456037 Enrollment ID: O20040210000011 |
| Mailing Address | Practice Location Address |
|---|---|
| Krista Ann Taylor, LCPC 611 W Park St, Urbana, IL 61801-2529 Ph: (217) 383-6941 | Krista Ann Taylor, LCPC 2512 Hurst Dr, Mattoon, IL 61938-9200 Ph: (217) 258-7590 |
Kiaya Loy, MS, MHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 750 Broadway Ave E, Mattoon, IL 61938 Phone: 217-238-5700 | |
Nerissa Jones, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 750 Broadway Ave E, Mattoon, IL 61938 Phone: 217-238-5735 | |
Jessica Milburn, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 750 Broadway Ave E, Mattoon, IL 61938 Phone: 217-238-5700 Fax: 217-238-5767 | |
Taylor Downey, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 750 Broadway Ave E, Mattoon, IL 61938 Phone: 217-238-5700 | |
Allen M. Creamean, B.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 750 Broadway Ave E, Mattoon, IL 61938 Phone: 217-238-5700 Fax: 217-238-5767 | |
Madeleine Stone, Counselor Medicare: Not Enrolled in Medicare Practice Location: 750 Broadway Ave E, Mattoon, IL 61938 Phone: 217-238-5700 | |
Amy Kirkman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 750 Broadway Ave E, Mattoon, IL 61938 Phone: 217-238-5700 |