| Mrs Jennifer Lauren Woodrum, MS | |
|
2103 E Washington St Ste 3e, Bloomington, IL 61701-4365 | |
| (309) 271-7042 | |
| (309) 322-8894 |
| Full Name | Mrs Jennifer Lauren Woodrum |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 6 Years |
| Location | 2103 E Washington St Ste 3e, Bloomington, Illinois |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447869680 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Elliott Counseling Services Llc | 2264709690 | 3 |
| Entity Name | Elliott Counseling Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396067559 PECOS PAC ID: 2264709690 Enrollment ID: O20170606001451 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jennifer Lauren Woodrum, MS 2103 E Washington St Ste 3e, Bloomington, IL 61701-4365 Ph: (309) 271-7042 | Mrs Jennifer Lauren Woodrum, MS 2103 E Washington St Ste 3e, Bloomington, IL 61701-4365 Ph: (309) 271-7042 |
Carrie P Bussmann, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 808 S Eldorado Rd Ste 400, Bloomington, IL 61704 Phone: 309-585-0241 | |
Mr. Bryan James Hinman, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 702 W Chestnut St, Bloomington, IL 61701 Phone: 309-557-1409 | |
William Douglas Portis, LCPC CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 808 S Eldorado Rd Ste 100c, Bloomington, IL 61704 Phone: 309-889-6222 | |
Victoria Fetter, Counselor Medicare: Accepting Medicare Assignments Practice Location: 808 S Eldorado Rd Ste 102, Bloomington, IL 61704 Phone: 888-428-7890 Fax: 877-428-7891 | |
Timothy Robert Wright, Counselor Medicare: Not Enrolled in Medicare Practice Location: 108 W Market St, Bloomington, IL 61701 Phone: 309-827-5351 | |
Mr. Joshua Beckwith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 108 W Market St, Bloomington, IL 61701 Phone: 309-827-5351 Fax: 309-829-6808 | |
Mrs. Lisa Diane Neuweg, MA, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 702 W Chestnut St, Bloomington, IL 61701 Phone: 309-827-6026 |