| Matthew Graden, LCPC | |
|
1 E Merchants Dr, Suite 300, Oswego, IL 60543 | |
| (888) 428-7890 | |
| (877) 428-7891 |
| Full Name | Matthew Graden |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 9 Years |
| Location | 1 E Merchants Dr, Oswego, Illinois |
| 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 |
|---|---|---|---|
| 1073229662 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180014968 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Edgewood Clinical Services P.c. | 3971963901 | 190 |
| Entity Name | Edgewood Clinical Services P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295914646 PECOS PAC ID: 3971963901 Enrollment ID: O20230721001228 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Graden, LCPC 4800 N Scottsdale Rd Ste 2500, Scottsdale, AZ 85251-7630 Ph: (630) 428-7890 | Matthew Graden, LCPC 1 E Merchants Dr, Suite 300, Oswego, IL 60543 Ph: (888) 428-7890 |
Lisa Junger, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 84 Templeton Dr Ste 103, Oswego, IL 60543 Phone: 630-844-2662 Fax: 630-844-3084 | |
Ana Drake, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: Po Box 34, Oswego, IL 60543 Phone: 815-201-0731 | |
Hank Exline, Counselor Medicare: Accepting Medicare Assignments Practice Location: 84 Templeton Dr, Oswego, IL 60543 Phone: 630-844-2662 Fax: 630-844-3084 | |
Ms. Louise Clair Sheldon, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 58 Chicago Rd, Oswego, IL 60543 Phone: 630-913-7045 | |
Danielle Faith Zimmerman, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 67 Main St Ste 2b, Oswego, IL 60543 Phone: 815-556-9144 | |
Margaret Carstensen, LCPC, ATR Counselor Medicare: Not Enrolled in Medicare Practice Location: 113 Main St Ste 203, Oswego, IL 60543 Phone: 630-733-9108 |