| Counseling Center Of The North Shore, Inc. | |
|
992 1/2 Green Bay Rd Winnetka IL 60093 | |
| (847) 446-8060 | |
| (847) 446-9768 |
| Full Name | Counseling Center Of The North Shore, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 992 1/2 Green Bay Rd, Winnetka, Illinois |
| Authorized Official Name and Position | Robert M Mardirossian (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8474468060 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling Center Of The North Shore, Inc. 992 1/2 Green Bay Rd Winnetka IL 60093-1722 Ph: (847) 446-8060 | Counseling Center Of The North Shore, Inc. 992 1/2 Green Bay Rd Winnetka IL 60093 Ph: (847) 446-8060 |
| NPI Number | 1205841954 |
|---|---|
| Provider Enumeration Date | 07/30/2006 |
| Last Update Date | 01/05/2024 |
| Certification Date | 01/05/2024 |
| Medicare PECOS PAC ID | 5597762310 |
|---|---|
| Medicare Enrollment ID | O20061108000412 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205841954 | NPI | - | NPPES |
| Provider Name | Kimberly S Hassenfeld |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255501680 PECOS PAC ID: 8224116629 Enrollment ID: I20080425000323 |
| Provider Name | Matthew Silver |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780042788 PECOS PAC ID: 5991065021 Enrollment ID: I20180208002661 |
| Provider Name | Jan H Roy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265699300 PECOS PAC ID: 1850531179 Enrollment ID: I20190328002862 |
| Provider Name | Lydia Sarah Thornton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760053698 PECOS PAC ID: 1355746777 Enrollment ID: I20210824001720 |
| Provider Name | Allison Lentulus Stein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548736812 PECOS PAC ID: 6901202811 Enrollment ID: I20210901000508 |
| Provider Name | Norma Canelas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013674340 PECOS PAC ID: 4082066683 Enrollment ID: I20240119000375 |
| Provider Name | Kathleen J. Fink |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376786376 PECOS PAC ID: 8224471743 Enrollment ID: I20240212001750 |
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