| Mrs Kristen Marie Scott, LCPC | |
|
17226 Harlem Ave, Tinley Park, IL 60477-3368 | |
| (773) 350-6289 | |
| (708) 810-6789 |
| Full Name | Mrs Kristen Marie Scott |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 17226 Harlem Ave, Tinley Park, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043634587 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 180008973 (Illinois) | Primary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| Entity Name | Leap Of Faith Wellness Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922666502 PECOS PAC ID: 3971049438 Enrollment ID: O20240722001060 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kristen Marie Scott, LCPC 17226 Harlem Ave, Tinley Park, IL 60477-3368 Ph: (773) 350-6289 | Mrs Kristen Marie Scott, LCPC 17226 Harlem Ave, Tinley Park, IL 60477-3368 Ph: (773) 350-6289 |
Kimberly Pinkston, LCPC, CADC, BC-DMT Counselor Medicare: Not Enrolled in Medicare Practice Location: 8041 186th St Ste B, Tinley Park, IL 60487 Phone: 815-310-1582 | |
Mrs. Lynn Wachtel Shapiro, MSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 17732 Oak Park Ave, Tinley Park, IL 60477 Phone: 708-342-1773 Fax: 708-342-1780 | |
Dorlisa Bethany, Counselor Medicare: Not Enrolled in Medicare Practice Location: 17746 Oak Park Ave, Tinley Park, IL 60477 Phone: 708-444-1012 | |
Diane Wendt, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8200 W 185th St., Suite 17, Tinley Park, IL 60477 Phone: 708-560-3801 | |
Reem Mohamed, Counselor Medicare: Not Enrolled in Medicare Practice Location: 16335 Harlem Ave, Suite 424, Tinley Park, IL 60477 Phone: 708-310-5115 Fax: 708-294-3993 | |
Danielle Lyon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6801 West 180th Court, Tinley Park, IL 60477 Phone: 708-256-6285 |