| Sara Bardy, LCPC | |
|
111 Dean St, Woodstock, IL 60098-3220 | |
| (847) 802-4058 | |
| (815) 344-5072 |
| Full Name | Sara Bardy |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 111 Dean St, Woodstock, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053187427 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180015092 (Illinois) | Primary |
| Entity Name | The Lodestone Center For Behavioral Health Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619448222 PECOS PAC ID: 6709128317 Enrollment ID: O20190501001853 |
| Mailing Address | Practice Location Address |
|---|---|
| Sara Bardy, LCPC 111 Dean St, Woodstock, IL 60098-3220 Ph: (847) 802-4058 | Sara Bardy, LCPC 111 Dean St, Woodstock, IL 60098-3220 Ph: (847) 802-4058 |
Katharina Gounaris, BSW, CDVP Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 S Jefferson St, Woodstock, IL 60098 Phone: 815-344-1230 | |
Amber Marcussen, Counselor Medicare: Medicare Enrolled Practice Location: 111 Dean St, Woodstock, IL 60098 Phone: 847-802-4058 Fax: 815-344-5072 | |
Diana French, Counselor Medicare: Not Enrolled in Medicare Practice Location: 527 W South St, Woodstock, IL 60098 Phone: 800-892-8900 | |
Trisha Fendt, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 S Jefferson St, Woodstock, IL 60098 Phone: 815-344-1230 | |
Natalie Freeman, LPC, CDWF Counselor Medicare: Not Enrolled in Medicare Practice Location: 224 W Judd St, Woodstock, IL 60098 Phone: 815-345-3400 | |
Dr. Astrid Larsen, PHD, LCPC, MBA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2317 Timberline Trl, Woodstock, IL 60098 Phone: 847-553-7764 |