| Kaleidoscope Clinical Counseling, Pllc | |
|
330 Division Dr Ste J Sugar Grove IL 60554-9800 | |
| (630) 708-0317 | |
| Not Available |
| Full Name | Kaleidoscope Clinical Counseling, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 330 Division Dr Ste J, Sugar Grove, Illinois |
| Authorized Official Name and Position | Amy Heiman (OWNER/COUNSELOR) |
| Authorized Official Contact | 6307080317 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kaleidoscope Clinical Counseling, Pllc 330 Division Dr Ste J Sugar Grove IL 60554-9800 Ph: (630) 708-0317 | Kaleidoscope Clinical Counseling, Pllc 330 Division Dr Ste J Sugar Grove IL 60554-9800 Ph: (630) 708-0317 |
| NPI Number | 1669223780 |
|---|---|
| Provider Enumeration Date | 03/27/2024 |
| Last Update Date | 03/27/2024 |
| Certification Date | 03/27/2024 |
| Medicare PECOS PAC ID | 9335681196 |
|---|---|
| Medicare Enrollment ID | O20240607001285 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669223780 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Amy Jo Heiman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912907932 PECOS PAC ID: 4082057625 Enrollment ID: I20240209003351 |
Sugar Grove Wellness, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 263 S Main Street, Sugar Grove, IL 60554 Phone: 630-306-9990 | |
Elgersma Counseling Services Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 262 Chatsworth Ave, Sugar Grove, IL 60554 Phone: 630-465-5602 Fax: 630-465-5604 | |
Cynthia G Slocum Msw Lcsw Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 76 S Main St, Suite B, Sugar Grove, IL 60554 Phone: 630-992-5646 | |
Safe Harbor Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 76 S Main St Ste A, Sugar Grove, IL 60554 Phone: 630-272-4959 | |
Michael W Elgersma Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 262 Chatsworth Ave, Sugar Grove, IL 60554 Phone: 616-644-1314 |