| Child And Family Counseling Of Champaign | |
|
313 N Mattis Ave Ste 116 Champaign IL 61821-7900 | |
| (224) 232-8057 | |
| (217) 888-2744 |
| Full Name | Child And Family Counseling Of Champaign |
|---|---|
| Speciality | Counselor |
| Location | 313 N Mattis Ave Ste 116, Champaign, Illinois |
| Authorized Official Name and Position | Marilee Johnson (OWNER) |
| Authorized Official Contact | 2422328057 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Child And Family Counseling Of Champaign 706 Lavender Dr Savoy IL 61874-9322 Ph: (224) 326-1943 | Child And Family Counseling Of Champaign 313 N Mattis Ave Ste 116 Champaign IL 61821-7900 Ph: (224) 232-8057 |
| NPI Number | 1053814848 |
|---|---|
| Provider Enumeration Date | 03/17/2018 |
| Last Update Date | 10/16/2024 |
| Certification Date | 10/16/2024 |
| Medicare PECOS PAC ID | 5092231175 |
|---|---|
| Medicare Enrollment ID | O20250501001911 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053814848 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Marilee Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295166783 PECOS PAC ID: 3971029067 Enrollment ID: I20250501002044 |
| Provider Name | Mary Derbish |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003506924 PECOS PAC ID: 3072031483 Enrollment ID: I20250520000638 |
Creative Solutions, Pamela Wendt Counseling Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 116 N Chestnut St, Ste 220, Champaign, IL 61820 Phone: 217-202-9506 | |
Approachable Therapy Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 505 W University Ave Ste 211, Champaign, IL 61820 Phone: 217-398-3124 | |
Innersoul Collective Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2604 Hunters Pond Run Apt 32, Champaign, IL 61820 Phone: 773-234-6869 | |
Lawrence L Jeckel Md Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2500 Galen Drive, Champaign, IL 61821 Phone: 217-356-0228 Fax: 217-356-0667 | |
Lavina Velasco Counseling, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2516 Waterville Dr, Champaign, IL 61822 Phone: 217-990-8309 | |
Doris Jenkins Counseling Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 701 Devonshire Dr Ste 102e, Champaign, IL 61820 Phone: 217-343-7707 | |
Julie Birky Counseling Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 206 N Randolph St, Champaign, IL 61820 Phone: 815-357-7280 |