| All Seasons Counseling Group | |
|
1925 Moraine Dr Champaign IL 61822-5258 | |
| (217) 781-1706 | |
| Not Available |
| Full Name | All Seasons Counseling Group |
|---|---|
| Speciality | Social Worker |
| Location | 1925 Moraine Dr, Champaign, Illinois |
| Authorized Official Name and Position | Laurelyn Cropek (OWNER) |
| Authorized Official Contact | 2177811706 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| All Seasons Counseling Group 1925 Moraine Dr Champaign IL 61822-5258 Ph: (217) 781-1706 | All Seasons Counseling Group 1925 Moraine Dr Champaign IL 61822-5258 Ph: (217) 781-1706 |
| NPI Number | 1336815729 |
|---|---|
| Provider Enumeration Date | 08/17/2021 |
| Last Update Date | 08/17/2021 |
| Certification Date | 08/17/2021 |
| Medicare PECOS PAC ID | 5193192318 |
|---|---|
| Medicare Enrollment ID | O20221101001413 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336815729 | NPI | - | NPPES |
| 149.005667 | Other | IL | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Laurelyn Cropek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922010701 PECOS PAC ID: 8820083397 Enrollment ID: I20070720000823 |
| Provider Name | Johanna H Willemse |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043406044 PECOS PAC ID: 5294996153 Enrollment ID: I20120419000755 |
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