| Mental Health On Prairie | |
|
2797 Prairie Ave Ste 22 Beloit WI 53511-2288 | |
| (608) 481-2330 | |
| Not Available |
| Full Name | Mental Health On Prairie |
|---|---|
| Speciality | Clinic/Center |
| Location | 2797 Prairie Ave Ste 22, Beloit, Wisconsin |
| Authorized Official Name and Position | Faith Mattison (OWNER, LCSW) |
| Authorized Official Contact | 6084812330 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mental Health On Prairie 2797 Prairie Ave Ste 22 Beloit WI 53511-2288 Ph: () - | Mental Health On Prairie 2797 Prairie Ave Ste 22 Beloit WI 53511-2288 Ph: (608) 481-2330 |
| NPI Number | 1942063482 |
|---|---|
| Provider Enumeration Date | 02/06/2024 |
| Last Update Date | 02/06/2024 |
| Certification Date | 02/06/2024 |
| Medicare PECOS PAC ID | 7113451790 |
|---|---|
| Medicare Enrollment ID | O20241106000764 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942063482 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Faith E Mattison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487686648 PECOS PAC ID: 1355386368 Enrollment ID: I20050621000576 |
| Provider Name | Teresa Bingham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164106647 PECOS PAC ID: 0648705939 Enrollment ID: I20241122003280 |
| Provider Name | Laura E Pisciotti |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215643986 PECOS PAC ID: 2163958471 Enrollment ID: I20241210004064 |
Holistic Counseling Services, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1517 Huebbe Parkway, Ste A, Beloit, WI 53511 Phone: 608-291-5891 Fax: 608-713-9040 | |
Enlightened Ways Therapy, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2319 Boulder Ln, Beloit, WI 53511 Phone: 608-346-8843 | |
Beloit Psychotherapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3005 Riverside Dr, Suite 102, Beloit, WI 53511 Phone: 608-346-8315 | |
Family Services Of Southern Wisconsin And Northern Illinois Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 423 Bluff St, Beloit, WI 53511 Phone: 608-365-1244 Fax: 608-365-4097 | |
Lutheran Social Services Of Wisconsin And Upper Michigan, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1850 Cranston Rd, Beloit, WI 53511 Phone: 833-420-1103 Fax: 608-752-9788 | |
County Of Rock County Clerk Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 64 Eclipse Ctr, Beloit, WI 53511 Phone: 608-363-3600 | |
County Of Rock Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 64 Eclipse Ctr, Beloit, WI 53511 Phone: 608-363-6200 |