| Teresa Macdavitt, LCPC | |
|
747 E Etna Rd Unit B, Ottawa, IL 61350-3777 | |
| (815) 993-1614 | |
| Not Available |
| Full Name | Teresa Macdavitt |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 19 Years |
| Location | 747 E Etna Rd Unit B, Ottawa, Illinois |
| 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 |
|---|---|---|---|
| 1760138242 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Illinois Valley Counseling Services | 0244467066 | 7 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Teresa Macdavitt, LCPC 22 Oak Ridge Dr, La Salle, IL 61301-9648 Ph: () - | Teresa Macdavitt, LCPC 747 E Etna Rd Unit B, Ottawa, IL 61350-3777 Ph: (815) 993-1614 |
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 |