| Nicole A Lonergan, LPC | |
|
4234 Illinois Ave, Fort Leonard Wood, MO 65473-9098 | |
| (573) 596-0035 | |
| Not Available |
| Full Name | Nicole A Lonergan |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 6 Years |
| Location | 4234 Illinois Ave, Fort Leonard Wood, Missouri |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942962675 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 2021040960 (Missouri) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Compass Health Inc | 1951206754 | 317 |
| Entity Name | Compass Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285619494 PECOS PAC ID: 1951206754 Enrollment ID: O20040408000955 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole A Lonergan, LPC 4234 Illinois Ave, Fort Leonard Wood, MO 65473-9098 Ph: Not Available | Nicole A Lonergan, LPC 4234 Illinois Ave, Fort Leonard Wood, MO 65473-9098 Ph: (573) 596-0035 |
Steven Richards, Counselor Medicare: Not Enrolled in Medicare Practice Location: General Leonard Wood Army Community Hospital, 4430 Missouri Avenue, Fort Leonard Wood, MO 65473 Phone: 573-326-0132 |
Samantha Renee Dickow, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 440-567-6681 |
James J Pobanz, LCDC, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 4234 Illinois Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-0522 |
Melissa Ann Peterson, LISW, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-0522 |
David R Johnson, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-0522 |
Ms. Jennifer Leslie Twigg, MA, LPC, CCDP-D,MARS Counselor Medicare: Not Enrolled in Medicare Practice Location: 4430 Missouri Ave # 1267, Fort Leonard Wood, MO 65473 Phone: 573-596-0417 |
Mr. Nathan B Asbell, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-0522 |