| Max Smith, | |
|
1205 E Main St, Robinson, IL 62454-3726 | |
| (224) 392-5305 | |
| Not Available |
| Full Name | Max Smith |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 5 Years |
| Location | 1205 E Main St, Robinson, 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 |
|---|---|---|---|
| 1548933146 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 178017178 (Illinois) | Secondary |
| 101YP2500X | Counselor - Professional | 180016323 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pivot Counseling And Consulting, Ltd | 8224555842 | 2 |
| 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 |
| Entity Name | Pivot Counseling & Consulting, Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386457026 PECOS PAC ID: 8224555842 Enrollment ID: O20250507002233 |
| Mailing Address | Practice Location Address |
|---|---|
| Max Smith, 1205 E Main St, Robinson, IL 62454-3726 Ph: (618) 655-1900 | Max Smith, 1205 E Main St, Robinson, IL 62454-3726 Ph: (224) 392-5305 |
Ms. Ryan Fletcher, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 204 W Highland Ave, Robinson, IL 62454 Phone: 618-546-5232 Fax: 618-546-5657 | |
Mrs. Gretchen Rebekah Corn, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 W Walnut St, Robinson, IL 62454 Phone: 618-469-1020 | |
Mr. Matthew King, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 204 W Highland Ave, Robinson, IL 62454 Phone: 618-546-1021 Fax: 618-544-7892 | |
Angela Lynn Newlin, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 W Walnut St, Robinson, IL 62454 Phone: 618-469-1020 | |
Mrs. Rachel Hille, Counselor Medicare: Not Enrolled in Medicare Practice Location: 204 W Highland Ave, Robinson, IL 62454 Phone: 618-546-1021 Fax: 618-544-7892 | |
Mrs. Kacie D Walton Flenniken, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 204 W Highland Ave, Robinson, IL 62454 Phone: 618-546-1021 Fax: 618-544-7892 | |
Ms. Penny Reinoehl, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 204 W Highland Ave, Robinson, IL 62454 Phone: 618-546-1021 Fax: 618-544-3791 |