| Miss Nikki Principato, BS, MHP | |
|
125 S 4th St, Oregon, IL 61061-1609 | |
| (815) 732-3157 | |
| Not Available |
| Full Name | Miss Nikki Principato |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 125 S 4th St, Oregon, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538717210 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Entity Name | Sinnissippi Centers Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407143837 PECOS PAC ID: 3476459876 Enrollment ID: O20031208000895 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Nikki Principato, BS, MHP 100 Jefferson St, Oregon, IL 61061-1612 Ph: () - | Miss Nikki Principato, BS, MHP 125 S 4th St, Oregon, IL 61061-1609 Ph: (815) 732-3157 |
Jennifer Marie Thomason, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 S 4th St, Oregon, IL 61061 Phone: 815-732-3157 Fax: 815-732-3834 | |
Mrs. Jessica Devries, B.A., MHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Jefferson St, Oregon, IL 61061 Phone: 815-732-3157 | |
Ms. Sierra Leek, BS, MHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 S 4th St, Oregon, IL 61061 Phone: 815-732-3157 | |
Spring Johansson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Jefferson St, Oregon, IL 61061 Phone: 815-732-3157 | |
Kelsey Boyd, Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Jefferson St, Oregon, IL 61061 Phone: 815-757-5327 | |
Christina Bieche, Counselor Medicare: Medicare Enrolled Practice Location: 100 Jefferson St, Oregon, IL 61061 Phone: 815-732-3157 Fax: 815-732-3834 | |
Brittany Lee Nelson, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 S 4th St, Oregon, IL 61061 Phone: 815-732-2499 |