| Crown Counseling, Llc | |
|
250 N Main St Crown Point IN 46307-3278 | |
| (219) 663-6353 | |
| Not Available |
| Full Name | Crown Counseling, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 250 N Main St, Crown Point, Indiana |
| Authorized Official Name and Position | Suzanne Bonaventura-krischke (OWNER) |
| Authorized Official Contact | 2196636353 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crown Counseling, Llc 250 N Main St Crown Point IN 46307-3278 Ph: () - | Crown Counseling, Llc 250 N Main St Crown Point IN 46307-3278 Ph: (219) 663-6353 |
| NPI Number | 1326290164 |
|---|---|
| Provider Enumeration Date | 10/10/2008 |
| Last Update Date | 06/23/2022 |
| Certification Date | 06/23/2022 |
| Medicare PECOS PAC ID | 6507172533 |
|---|---|
| Medicare Enrollment ID | O20150904001314 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326290164 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 33004882A (Indiana) | Primary |
| Provider Name | Cathleen M Amador |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659343911 PECOS PAC ID: 5294864047 Enrollment ID: I20110901000731 |
| Provider Name | Julie Mescall |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124450598 PECOS PAC ID: 4789904764 Enrollment ID: I20150514000670 |
| Provider Name | Suzanne J Bonaventura Krischke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003817032 PECOS PAC ID: 6406162437 Enrollment ID: I20150904001394 |
| Provider Name | Kim Urra |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275664682 PECOS PAC ID: 2466854179 Enrollment ID: I20210716001319 |
| Provider Name | Wendee Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245847722 PECOS PAC ID: 3375941446 Enrollment ID: I20211005001504 |
| Provider Name | Carrie Mason |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295254647 PECOS PAC ID: 4688069867 Enrollment ID: I20220325000628 |
| Provider Name | Laria Crews |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659979888 PECOS PAC ID: 1254728447 Enrollment ID: I20220418000474 |
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