| Mary K Evans, LPC, MA | |
|
2917 Crossing Ct Ste B1, Champaign, IL 61822-6185 | |
| (970) 690-1646 | |
| Not Available |
| Full Name | Mary K Evans |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 37 Years |
| Location | 2917 Crossing Ct Ste B1, Champaign, Illinois |
| 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 |
|---|---|---|---|
| 1255789632 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180.004735 (Illinois) | Secondary |
| 101YP2500X | Counselor - Professional | LPC.0015327 (Colorado) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sailor Health Medical Pa | 4486182342 | 301 |
| Entity Name | Sondermind Provider Network LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210113002826 |
| Entity Name | Sailor Health Medical PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841012960 PECOS PAC ID: 4486182342 Enrollment ID: O20251210000910 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary K Evans, LPC, MA 2506 Fields South Dr Apt 106, Champaign, IL 61822-3713 Ph: (970) 690-1646 | Mary K Evans, LPC, MA 2917 Crossing Ct Ste B1, Champaign, IL 61822-6185 Ph: (970) 690-1646 |
Staci Poe, Counselor Medicare: Not Enrolled in Medicare Practice Location: 44 E Main St, Ste 406, Champaign, IL 61820 Phone: 217-398-9066 Fax: 217-398-9077 |
Marie Duffin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 701 Devonshire Dr Ste B16-18, Champaign, IL 61820 Phone: 217-531-2360 |
Jennifer Carleton, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 411 Devonshire Dr, Champaign, IL 61820 Phone: 217-904-3035 |
Erica Taylor, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2125 S Neil St, Champaign, IL 61820 Phone: 217-352-0200 Fax: 217-607-1139 |
Rachel Cooper Yuhas, LCPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 309 W Clark St, Champaign, IL 61820 Phone: 217-398-9066 Fax: 217-398-9077 |
Kenya Kelly, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 106 S Country Fair Dr, Champaign, IL 61821 Phone: 217-255-3922 |
Madeline Hemrich, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 313 N Mattis Ave Ste 115, Champaign, IL 61821 Phone: 224-232-8057 Fax: 217-888-2744 |