| Human Support Services | |
|
988 N Illinois Route 3 Waterloo IL 62298-1000 | |
| (618) 939-4444 | |
| (618) 939-4181 |
| Full Name | Human Support Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 988 N Illinois Route 3, Waterloo, Illinois |
| Authorized Official Name and Position | Melissa Jones (BUSINESS MANAGER) |
| Authorized Official Contact | 6189394444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Human Support Services 988 N Illinois Route 3 Po Box 146 Waterloo IL 62298-1000 Ph: (618) 939-4444 | Human Support Services 988 N Illinois Route 3 Waterloo IL 62298-1000 Ph: (618) 939-4444 |
| NPI Number | 1851314918 |
|---|---|
| Provider Enumeration Date | 07/26/2006 |
| Last Update Date | 11/26/2018 |
| Medicare PECOS PAC ID | 8729166434 |
|---|---|
| Medicare Enrollment ID | O20080422000307 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851314918 | NPI | - | NPPES |
| 10B862 | Other | MO | BLUE CROSS BLUE SHIELD |
| 067-15560 | Other | IL | BLUE CROSS BLUE SHIELD |
| Provider Name | Michele D Moldrem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598907545 PECOS PAC ID: 1850636515 Enrollment ID: I20181227001863 |
| Provider Name | Stephanie Moore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013682525 PECOS PAC ID: 9830581040 Enrollment ID: I20220120002238 |
| Provider Name | Anne M Riley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275702318 PECOS PAC ID: 6103130901 Enrollment ID: I20220121000819 |
| Provider Name | Johnathan Mehrtens |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1487208815 PECOS PAC ID: 4183072325 Enrollment ID: I20231128002399 |
| Provider Name | Jennifer Tourville |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891344248 PECOS PAC ID: 4082067392 Enrollment ID: I20240201003757 |
Rippling Waters Counseling Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 220 Bradford Ln Ste C, Waterloo, IL 62298 Phone: 618-939-3919 Fax: 618-939-3920 | |
Human Support Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 224 N Main St Rear, Waterloo, IL 62298 Phone: 618-939-4444 Fax: 618-939-4181 | |
Transitions Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 316 Hartmann St, Waterloo, IL 62298 Phone: 618-567-6269 | |
Empower U Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5203 Kk Rd, Waterloo, IL 62298 Phone: 618-779-0274 | |
Human Support Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 228 Bradford Ln Ste 2, Waterloo, IL 62298 Phone: 618-939-4444 | |
Human Support Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 228 Bradford Ln, Apartment 5, Waterloo, IL 62298 Phone: 618-939-4444 Fax: 618-939-4181 |