| Margo Louise Tillstrom, | |
|
1301 N High St, Columbus, OH 43201-2460 | |
| (614) 299-6600 | |
| Not Available |
| Full Name | Margo Louise Tillstrom |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 3 Years |
| Location | 1301 N High St, Columbus, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558003012 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | S.2202359-TRNE (Ohio) | Primary |
| 171M00000X | Case Manager/care Coordinator | (NU) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Holistic Wellness Solutions Llc | 6002243755 | 10 |
| Kelli Skaggs Lcsw Llc | 5193253722 | 3 |
| Entity Name | Holistic Wellness Solutions LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063932119 PECOS PAC ID: 6002243755 Enrollment ID: O20200219001658 |
| Entity Name | Kelli Skaggs LCSW LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043033327 PECOS PAC ID: 5193253722 Enrollment ID: O20250110001202 |
| Mailing Address | Practice Location Address |
|---|---|
| Margo Louise Tillstrom, 1400 Neil Ave Apt 204, Columbus, OH 43201-3804 Ph: (440) 668-6247 | Margo Louise Tillstrom, 1301 N High St, Columbus, OH 43201-2460 Ph: (614) 299-6600 |
Mr. Daryush Parvinbenam, PCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 287 W Johnstown Rd, Columbus, OH 43230 Phone: 614-305-5102 Fax: 614-383-7786 |
Molly Marie Fields, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1115 Bethel Rd, Columbus, OH 43220 Phone: 614-459-9022 Fax: 614-451-3017 |
Mr. Lucas Alan Hawkins, LPCC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 444 Butterfly Gardens Dr, Columbus, OH 43215 Phone: 614-938-0350 Fax: 614-938-0170 |
Ms. Katherine Anne Risinger, LPCC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 444 Butterfly Gardens Dr, Columbus, OH 43215 Phone: 614-355-8550 Fax: 614-355-8593 |
Tracie Lynn Keller, LPCC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 1080 Fishinger Rd, Suite 103, Columbus, OH 43221 Phone: 614-822-7819 Fax: 614-372-5590 |
Heather Russo, LPCC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 444 Butterfly Gardens Dr, Columbus, OH 43215 Phone: 614-355-8695 Fax: 614-355-7855 |
Carl Bogenschutz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1301 N High St, Columbus, OH 43201 Phone: 614-299-6600 |