Thea Justine Rossmiller, MSW, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Lake Forest, Illinois. She went to Loyola University Of Chicago, Stritch School Of Medicine and graduated in 2022 and has 4 years of diverse experience with area of expertise as Mental Health Counselor. She is a member of the group practice Inspire Counseling Center Llc and her current practice location is
1025 W Everett Rd Ste 4, Lake Forest, Illinois. You can reach out to her office (for appointments etc.) via phone at
(309) 252-0683.
Thea Justine Rossmiller is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1760121172.
Healthcare Provider's Profile
| Full Name | Thea Justine Rossmiller |
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| Gender | Female |
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| Speciality | Mental Health Counselor |
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| Experience | 4 Years |
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| Location | 1025 W Everett Rd Ste 4, Lake Forest, Illinois |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Thea Justine Rossmiller attended and graduated from Loyola University Of Chicago, Stritch School Of Medicine in 2022
NPI Data:
- NPI Number: 1760121172
- Provider Enumeration Date: 06/02/2022
- Last Update Date: 08/04/2025
Medicare PECOS Information:
- PECOS PAC ID: 3577081322
- Enrollment ID: I20250515003188
Medical Identifiers
Medical identifiers for Thea Justine Rossmiller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1760121172 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Inspire Counseling Center Llc | 6800252669 | 13 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Thea Justine Rossmiller allows following entities to bill medicare on her behalf.
| Entity Name | Inspire Counseling Center Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1295289726
PECOS PAC ID: 6800252669
Enrollment ID: O20230519002867 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Thea Justine Rossmiller is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Thea Justine Rossmiller, MSW, LCSW
17894 W Braewick Rd,
Gurnee, IL 60031-5207
Ph: (309) 252-0683 | Thea Justine Rossmiller, MSW, LCSW
1025 W Everett Rd Ste 4,
Lake Forest, IL 60045-2668
Ph: (309) 252-0683 |
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