| Mr Robert John Mooney, LPC MA | |
|
1423 Valle Vista, Pekin, IL 61554 | |
| (309) 347-1148 | |
| (309) 347-1298 |
| Full Name | Mr Robert John Mooney |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 21 Years |
| Location | 1423 Valle Vista, Pekin, 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 |
|---|---|---|---|
| 1013975648 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ensight Mental Health And Wellness Pllc | 3870093982 | 2 |
| Entity Name | Tazwood Mental Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083671127 PECOS PAC ID: 1850291741 Enrollment ID: O20040108000963 |
| Entity Name | Human Service Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881630689 PECOS PAC ID: 6901896968 Enrollment ID: O20040513000449 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Robert John Mooney, LPC MA 1423 Valle Vista, Pekin, IL 61554 Ph: (309) 347-1148 | Mr Robert John Mooney, LPC MA 1423 Valle Vista, Pekin, IL 61554 Ph: (309) 347-1148 |
Mrs. Renee R Lawson, RSA DSP CNA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1423 Valle Vista, Pekin, IL 61554 Phone: 309-347-4280 | |
Stacie Billingsley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2205 State St, Pekin, IL 61554 Phone: 309-648-0782 | |
Mr. Patrick Timothy Hayes, B.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 3248 Vandever Ave, Pekin, IL 61554 Phone: 309-347-5579 Fax: 309-347-4264 | |
Joan Wenzel, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3249 Barney Ave, Pekin, IL 61554 Phone: 309-347-5522 Fax: 309-347-7302 | |
Patrick Durkin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3248 Vandever Ave, Pekin, IL 61554 Phone: 309-347-5579 Fax: 309-347-4264 | |
Gelana L Mccloud, LCPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 333 Margaret St, Pekin, IL 61554 Phone: 309-407-7771 Fax: 309-620-8623 |