| Ascend Counseling, Llc | |
|
1145 Tennyson Ln Naperville IL 60540-0335 | |
| (773) 209-5932 | |
| Not Available |
| Full Name | Ascend Counseling, Llc |
|---|---|
| Speciality | Counselor |
| Location | 1145 Tennyson Ln, Naperville, Illinois |
| Authorized Official Name and Position | Robert Foreman (CREDENTIALING) |
| Authorized Official Contact | 3063130069 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ascend Counseling, Llc 1145 Tennyson Ln Naperville IL 60540-0335 Ph: (773) 209-5932 | Ascend Counseling, Llc 1145 Tennyson Ln Naperville IL 60540-0335 Ph: (773) 209-5932 |
| NPI Number | 1053021584 |
|---|---|
| Provider Enumeration Date | 11/23/2022 |
| Last Update Date | 11/23/2022 |
| Certification Date | 11/23/2022 |
| Medicare PECOS PAC ID | 6103299466 |
|---|---|
| Medicare Enrollment ID | O20230307002035 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053021584 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Sara Reed |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124548441 PECOS PAC ID: 2163789496 Enrollment ID: I20171122000203 |
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