| Thomas Payne-brewer, LCPC | |
|
100 Hillcrest Dr Ste C, Washington, IL 61571-2227 | |
| (309) 444-2800 | |
| Not Available |
| Full Name | Thomas Payne-brewer |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 100 Hillcrest Dr Ste C, Washington, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316320559 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | 180.014708 (Illinois) | Primary |
| Entity Name | Balanced |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225332273 PECOS PAC ID: 9830352020 Enrollment ID: O20120525000595 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Payne-brewer, LCPC 1104 N Underhill St, Peoria, IL 61606-1241 Ph: (309) 202-7383 | Thomas Payne-brewer, LCPC 100 Hillcrest Dr Ste C, Washington, IL 61571-2227 Ph: (309) 444-2800 |
Joshua Ryan Lehman, L.C.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 631 N Cummings Ln, Washington, IL 61571 Phone: 309-370-6406 | |
Mrs. Kimberly Lakin Johnson, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 631 N Cummings Ln, Washington, IL 61571 Phone: 309-370-6406 | |
Ms. Theresa Ann Kennedy Patton, LCPC CRC LCAC LIAC Counselor Medicare: Medicare Enrolled Practice Location: 617 Stephanie Ct, Washington, IL 61571 Phone: 317-799-4343 Fax: 317-643-8989 | |
Ms. Andrea Lynn Shryock, L.C.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 128 Washington Sq, Washington, IL 61571 Phone: 800-773-1682 | |
Lorelei Volpe, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1003 N Cummings Ln, Washington, IL 61571 Phone: 309-444-1000 Fax: 309-444-7000 | |
Adrien Nuechterlein, L.C.P.C, N.C.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1003 N Cummings Ln, Washington, IL 61571 Phone: 309-444-1000 |