| Mosaic Counseling And Wellness | |
|
1010 Lake St Oak Park IL 60301-1147 | |
| (708) 628-8000 | |
| Not Available |
| Full Name | Mosaic Counseling And Wellness |
|---|---|
| Speciality | Clinic/Center |
| Location | 1010 Lake St, Oak Park, Illinois |
| Authorized Official Name and Position | Carey Carlock (MANAGER) |
| Authorized Official Contact | 7086288000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mosaic Counseling And Wellness 386 N. York Rd Suite 204 Elmhurst IL 60126-2365 Ph: (708) 628-8000 | Mosaic Counseling And Wellness 1010 Lake St Oak Park IL 60301-1147 Ph: (708) 628-8000 |
| NPI Number | 1851065502 |
|---|---|
| Provider Enumeration Date | 08/05/2021 |
| Last Update Date | 06/23/2023 |
| Certification Date | 02/17/2022 |
| Medicare PECOS PAC ID | 1355728353 |
|---|---|
| Medicare Enrollment ID | O20220512001904 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851065502 | NPI | - | NPPES |
| Provider Name | Joseph C Beck |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386682144 PECOS PAC ID: 8426061946 Enrollment ID: I20060728000025 |
| Provider Name | Christine L Levy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215109384 PECOS PAC ID: 3870662174 Enrollment ID: I20080513000117 |
| Provider Name | Kellie Vaidya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346781879 PECOS PAC ID: 5597042754 Enrollment ID: I20170426001273 |
| Provider Name | Sarah Schrock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689232522 PECOS PAC ID: 3375872831 Enrollment ID: I20190909001567 |
| Provider Name | Tamara Lewis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164883864 PECOS PAC ID: 6204267578 Enrollment ID: I20200521000310 |
| Provider Name | Paige Bartley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215408885 PECOS PAC ID: 9931587417 Enrollment ID: I20220613001470 |
| Provider Name | Joan Marie Mcdonald |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235781907 PECOS PAC ID: 3870977218 Enrollment ID: I20220901003504 |
| Provider Name | Megan Gray-gordon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609378462 PECOS PAC ID: 5092199240 Enrollment ID: I20220907001844 |
| Provider Name | Jennifer P Cutilletta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700093093 PECOS PAC ID: 2062660640 Enrollment ID: I20221020001348 |
| Provider Name | Jennifer Scharping |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134448343 PECOS PAC ID: 9830561026 Enrollment ID: I20230216002141 |
| Provider Name | Emily Vanella |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669179453 PECOS PAC ID: 5698148351 Enrollment ID: I20230227002789 |
| Provider Name | Andrea Doherty Lissuzzo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699375592 PECOS PAC ID: 9133534688 Enrollment ID: I20230519001186 |
| Provider Name | Monica Lynette Collins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467149237 PECOS PAC ID: 3274990239 Enrollment ID: I20230606002734 |
| Provider Name | Sophia Mae Cipriano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174140255 PECOS PAC ID: 2264893064 Enrollment ID: I20230726001721 |
| Provider Name | Aniruddha Deka |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689166027 PECOS PAC ID: 2860749660 Enrollment ID: I20230911002982 |
| Provider Name | Brian Anerino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962946111 PECOS PAC ID: 9830553668 Enrollment ID: I20230913001026 |
| Provider Name | Karina Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336882513 PECOS PAC ID: 4385008721 Enrollment ID: I20230918003430 |
| Provider Name | Yesenia Fabiola Garcia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477325629 PECOS PAC ID: 6507213386 Enrollment ID: I20231116000376 |
| Provider Name | Zechariah Kaine Strine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811650765 PECOS PAC ID: 9638527864 Enrollment ID: I20231129001971 |
| Provider Name | Kristen Sweas Fenton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235260936 PECOS PAC ID: 4183074636 Enrollment ID: I20231222003080 |
| Provider Name | Jasmine Baggett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780342311 PECOS PAC ID: 1658722137 Enrollment ID: I20240109002674 |
| Provider Name | Jessica Ann Osullivan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376318402 PECOS PAC ID: 5092167619 Enrollment ID: I20240119001116 |
| Provider Name | Sarah Gillespie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124716030 PECOS PAC ID: 8224473491 Enrollment ID: I20240227003145 |
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