| Mr Vaughn Douglas Klaassen, LCPC | |
|
1100 E Norris Dr, Ottawa, IL 61350-3678 | |
| (815) 434-4382 | |
| (815) 431-5528 |
| Full Name | Mr Vaughn Douglas Klaassen |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 31 Years |
| Location | 1100 E Norris Dr, Ottawa, 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 |
|---|---|---|---|
| 1578639290 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ottawa Regional Hospital Dba Osf Saint Elizabeth Mdl Ctr | Ottawa, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Illinois Valley Counseling Services | 0244467066 | 7 |
| Ottawa Regional Hospital And Healthcare Center | 9133029861 | 45 |
| Entity Name | Ottawa Regional Hospital & Healthcare Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306971080 PECOS PAC ID: 9133029861 Enrollment ID: O20040109000910 |
| Entity Name | Illinois Valley Counseling Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134568249 PECOS PAC ID: 0244467066 Enrollment ID: O20131224000001 |
| Entity Name | Osf Multi-specialty Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Vaughn Douglas Klaassen, LCPC 1100 E Norris Dr, Ottawa, IL 61350-3678 Ph: (815) 433-3100 | Mr Vaughn Douglas Klaassen, LCPC 1100 E Norris Dr, Ottawa, IL 61350-3678 Ph: (815) 434-4382 |
Kaitlyn Rinke, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 727 E Etna Rd, Ottawa, IL 61350 Phone: 815-434-4727 | |
Kristina Thrush, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 807 La Salle St, Ottawa, IL 61350 Phone: 815-324-2719 Fax: 630-703-1845 | |
Ms. Carol Ruth Buckner, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1100 E Norris Drive, Ottawa, IL 61350 Phone: 815-434-4382 Fax: 815-431-5528 | |
Ashley Holcman, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 807 La Salle St, Ottawa, IL 61350 Phone: 630-708-0197 | |
Nina Renee Miller, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 747 E Etna Rd, Ottawa, IL 61350 Phone: 815-993-1614 | |
Whitney Nicole Flach, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 408 W Main St, Ottawa, IL 61350 Phone: 815-326-9502 | |
Melinda Vesely, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 408 W Main St, Ottawa, IL 61350 Phone: 815-326-9502 Fax: 815-324-5102 |