| Mr Ian Caleb Cox, LCPC | |
|
2200 S 6th St, Springfield, IL 62703-3454 | |
| (217) 698-7150 | |
| Not Available |
| Full Name | Mr Ian Caleb Cox |
|---|---|
| Gender | Male |
| Speciality | Counselor |
| Location | 2200 S 6th St, Springfield, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144900796 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 180.015423 (Illinois) | Primary |
| Entity Name | Carlinville Area Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932275641 PECOS PAC ID: 9032021373 Enrollment ID: O20031104000520 |
| Entity Name | Carlinville Area Hospital Association |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1053425124 PECOS PAC ID: 9032021373 Enrollment ID: O20080422000666 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Ian Caleb Cox, LCPC 2200 S 6th St, Springfield, IL 62703-3454 Ph: (217) 698-7150 | Mr Ian Caleb Cox, LCPC 2200 S 6th St, Springfield, IL 62703-3454 Ph: (217) 698-7150 |
Mr. Jonathan Dean Ponser, M.A., LCPC, NCC Counselor Medicare: Medicare Enrolled Practice Location: 901 N 1st St, Springfield, IL 62702 Phone: 217-788-4065 Fax: 217-778-8414 | |
Michele L Herron, LCPC, CADC/MISA II Counselor Medicare: Not Enrolled in Medicare Practice Location: 408 S 5th St, Springfield, IL 62701 Phone: 217-528-1988 Fax: 217-528-1989 | |
Amy Nudo I, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 5230 South 6th Street Road, Springfield, IL 62703 Phone: 217-585-1180 Fax: 217-585-5651 | |
Barbara J. Wolfson, L.C.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1025 S 6th St, Springfield, IL 62703 Phone: 217-528-7541 | |
Jenna Yates, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3233 Mathers Rd Ste A, Springfield, IL 62711 Phone: 217-899-5412 | |
Kayla Jane Gerdes, MA, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 426 W Cook St, Springfield, IL 62704 Phone: 217-502-0678 | |
Rachel Rambach, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4481 Ash Grove Dr Ste B, Springfield, IL 62711 Phone: 217-970-2727 |