| Traci White, LCPC | |
|
706 Oglesby Ave Ste 300, Normal, IL 61761-4616 | |
| (309) 212-3606 | |
| Not Available |
| Full Name | Traci White |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 5 Years |
| Location | 706 Oglesby Ave Ste 300, Normal, 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 |
|---|---|---|---|
| 1336937002 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180.016130 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Midwest Post Acute Care Pllc | 0143547117 | 119 |
| Entity Name | Midwest Post Acute Care Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083012074 PECOS PAC ID: 0143547117 Enrollment ID: O20150401000634 |
| Mailing Address | Practice Location Address |
|---|---|
| Traci White, LCPC 7705 Lakewood Rd, Weldon, IL 61882-8969 Ph: (309) 267-2423 | Traci White, LCPC 706 Oglesby Ave Ste 300, Normal, IL 61761-4616 Ph: (309) 212-3606 |
Christopher Cashen, L.C.P.C. Counselor Medicare: Medicare Enrolled Practice Location: 405 Kays Dr Ste C, Normal, IL 61761 Phone: 309-664-3130 Fax: 309-664-3528 | |
Ayrielle Ehlers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 405 Kays Dr, Normal, IL 61761 Phone: 309-822-2725 | |
Sheri Bettis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 405 Kays Dr, Normal, IL 61761 Phone: 309-807-5077 | |
Gregory Jenkins, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 Northfield Dr Apt J3, Normal, IL 61761 Phone: 309-660-7635 | |
Theresa Vaccariello Lawrence, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 612 Oglesby Ave, Normal, IL 61761 Phone: 309-557-1124 | |
Alya Abbed, MA, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 706 Oglesby Ave Ste 114a, Normal, IL 61761 Phone: 309-807-8669 | |
Lauren Evelsizer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1303 Lismore Ln, Normal, IL 61761 Phone: 309-232-8879 |