| Kevin Elliott Counseling Inc. | |
|
44 E Main St Ste. 406 Champaign IL 61820-3636 | |
| (217) 398-9066 | |
| (217) 398-9077 |
| Full Name | Kevin Elliott Counseling Inc. |
|---|---|
| Speciality | Counselor |
| Location | 44 E Main St, Champaign, Illinois |
| Authorized Official Name and Position | Kevin Leslie Elliott (PRESIDENT) |
| Authorized Official Contact | 2173989066 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Elliott Counseling Inc. 44 E Main St Ste. 406 Champaign IL 61820-3636 Ph: (217) 398-9066 | Kevin Elliott Counseling Inc. 44 E Main St Ste. 406 Champaign IL 61820-3636 Ph: (217) 398-9066 |
| NPI Number | 1255357422 |
|---|---|
| Provider Enumeration Date | 07/14/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 0143226860 |
|---|---|
| Medicare Enrollment ID | O20061019000433 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255357422 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 180003499 (Illinois) | Primary |
| Provider Name | Laurie A Gilbert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215034814 PECOS PAC ID: 7719087279 Enrollment ID: I20070712000491 |
| Provider Name | Todd F Harrison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861411357 PECOS PAC ID: 8123111952 Enrollment ID: I20070910000558 |
| Provider Name | Carla J Cravens-mansini |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558425546 PECOS PAC ID: 7012193147 Enrollment ID: I20110525000268 |
| Provider Name | Dina Swanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184052516 PECOS PAC ID: 9830327162 Enrollment ID: I20140114000584 |
| Provider Name | Monica Cherry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790026151 PECOS PAC ID: 9638493471 Enrollment ID: I20150126002214 |
| Provider Name | Margaret J Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497081145 PECOS PAC ID: 8628389749 Enrollment ID: I20150616002236 |
| Provider Name | Becky D Largent |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013076702 PECOS PAC ID: 3870803364 Enrollment ID: I20151112002955 |
| Provider Name | Kevin Shepherd |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962872739 PECOS PAC ID: 7315236874 Enrollment ID: I20160523002134 |
| Provider Name | Molly M Mclay |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821518127 PECOS PAC ID: 9436420130 Enrollment ID: I20170728002209 |
| Provider Name | Crystal Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427557321 PECOS PAC ID: 6305107939 Enrollment ID: I20180222002233 |
| Provider Name | Jeffrey Boyd |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598265118 PECOS PAC ID: 6305108838 Enrollment ID: I20180322000113 |
| Provider Name | Erica Allsup |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356894687 PECOS PAC ID: 8123378007 Enrollment ID: I20180914000524 |
| Provider Name | Kate Wheeler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437636560 PECOS PAC ID: 5799039517 Enrollment ID: I20181114002655 |
| Provider Name | James A Warren |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831386374 PECOS PAC ID: 0143560524 Enrollment ID: I20190321001318 |
| Provider Name | Elizabeth M Brandon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073845954 PECOS PAC ID: 6305278573 Enrollment ID: I20191111000797 |
| Provider Name | Lawanda R Mcgee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285267799 PECOS PAC ID: 7416374160 Enrollment ID: I20200826003780 |
| Provider Name | Mary M Bragg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245822063 PECOS PAC ID: 0345657763 Enrollment ID: I20210401000519 |
| Provider Name | Alayia Reshawna Felkner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972254027 PECOS PAC ID: 8426442351 Enrollment ID: I20220218001016 |
| Provider Name | Maritza R Diaz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801552930 PECOS PAC ID: 6305231002 Enrollment ID: I20220316000873 |
| Provider Name | Emma D Lorimor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336798834 PECOS PAC ID: 1850772161 Enrollment ID: I20220718003471 |
| Provider Name | Taysha M Ryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770123804 PECOS PAC ID: 4082090766 Enrollment ID: I20221004000706 |
| Provider Name | Analise Atchison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245872803 PECOS PAC ID: 3375918337 Enrollment ID: I20230405002743 |
| Provider Name | Mariana Rice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255097978 PECOS PAC ID: 4981079993 Enrollment ID: I20230406000085 |
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