| Kyle Kellermeyer, LGPC | |
|
9 Newburg Ave Ste 200, Catonsville, MD 21228-5169 | |
| (410) 705-0664 | |
| Not Available |
| Full Name | Kyle Kellermeyer |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 8 Years |
| Location | 9 Newburg Ave Ste 200, Catonsville, Maryland |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487267837 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 10381 (Maryland) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Thrive Behavioral Health, Llc | 3476777947 | 62 |
| Entity Name | Thrive Behavioral Health, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053733378 PECOS PAC ID: 3476777947 Enrollment ID: O20140624001948 |
| Mailing Address | Practice Location Address |
|---|---|
| Kyle Kellermeyer, LGPC 1304 Ashburton Ct, Millersville, MD 21108-1900 Ph: (443) 883-1309 | Kyle Kellermeyer, LGPC 9 Newburg Ave Ste 200, Catonsville, MD 21228-5169 Ph: (410) 705-0664 |
Idania Ramos, Counselor Medicare: Not Enrolled in Medicare Practice Location: 60 Mellor Ave, Catonsville, MD 21228 Phone: 410-788-5483 |
Jadranka Milovanovic, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 N Rolling Rd, Catonsville, MD 21228 Phone: 410-788-0300 |
Brittany Grooms, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5740 Executive Dr Ste 108, Catonsville, MD 21228 Phone: 443-228-6741 |
Mr. Levern Clay Williams Jr., LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 27 Mellor Ave, Catonsville, MD 21228 Phone: 410-453-9553 |
Erica Joy Thompson, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 22 Bloomsbury Ave, Catonsville, MD 21228 Phone: 443-612-1403 Fax: 443-830-1521 |
Nagnouma Sako, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5740 Executive Dr Ste 108, Catonsville, MD 21228 Phone: 443-228-6741 |
Ms. Susan Ann Tangires, LCPC LCADC Counselor Medicare: Accepting Medicare Assignments Practice Location: 800 Ingleside Ave, Catonsville, MD 21228 Phone: 410-744-5937 Fax: 410-744-9423 |