| Mr Justin J Marko, MS, LPC, CSAC, ICS | |
|
15 W Milwaukee St, Suite 207, Janesville, WI 53548-2998 | |
| (608) 755-1475 | |
| (608) 755-1733 |
| Full Name | Mr Justin J Marko |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 13 Years |
| Location | 15 W Milwaukee St, Janesville, Wisconsin |
| 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 |
|---|---|---|---|
| 1841495215 | NPI | - | NPPES |
| 42247900 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 4580-125 (Wisconsin) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 15330-132 (Wisconsin) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Associates In Psychotherapy Llc | 8628222064 | 11 |
| Entity Name | Associates In Psychotherapy Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831448091 PECOS PAC ID: 8628222064 Enrollment ID: O20130212000056 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Justin J Marko, MS, LPC, CSAC, ICS 15 W Milwaukee St, Suite 207, Janesville, WI 53548-2998 Ph: (608) 755-1475 | Mr Justin J Marko, MS, LPC, CSAC, ICS 15 W Milwaukee St, Suite 207, Janesville, WI 53548-2998 Ph: (608) 755-1475 |
Michael G Braun, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 203 W Sunny Ln, Janesville, WI 53546 Phone: 608-741-4500 Fax: 608-741-4502 | |
Maria Wiegand, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1905 Center Ave Ste 170, Janesville, WI 53546 Phone: 608-352-9701 | |
Kamela D. Cisneros, Counselor Medicare: Accepting Medicare Assignments Practice Location: 903 Mineral Point Ave, Janesville, WI 53548 Phone: 608-756-5555 Fax: 608-756-0174 | |
Carol Ann Ward, LPC,NCC Counselor Medicare: Accepting Medicare Assignments Practice Location: 1519 Primrose Ln, Janesville, WI 53545 Phone: 608-752-7255 Fax: 608-752-6942 | |
Ms. Christina Renee Mcginn, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 203 W Sunny Ln, Janesville, WI 53546 Phone: 608-847-7575 | |
Tamra J Oman, CFT 14379130 Counselor Medicare: Not Enrolled in Medicare Practice Location: 203 W Sunny Lane, Janesville, WI 53546 Phone: 608-741-4500 Fax: 608-741-4516 | |
Jayme St. John, Counselor Medicare: Not Enrolled in Medicare Practice Location: 113 S Franklin St, Janesville, WI 53548 Phone: 608-757-5625 |