| New Light Counseling | |
|
1300 S Raney St Ste 2 Effingham IL 62401-4283 | |
| (217) 342-7155 | |
| (217) 342-2390 |
| Full Name | New Light Counseling |
|---|---|
| Speciality | Clinic/Center |
| Location | 1300 S Raney St Ste 2, Effingham, Illinois |
| Authorized Official Name and Position | Jennifer Mosier (OWNER) |
| Authorized Official Contact | 2173427155 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Light Counseling 1300 S Raney St Ste 2 Effingham IL 62401-4283 Ph: (217) 342-7155 | New Light Counseling 1300 S Raney St Ste 2 Effingham IL 62401-4283 Ph: (217) 342-7155 |
| NPI Number | 1538687934 |
|---|---|
| Provider Enumeration Date | 09/06/2017 |
| Last Update Date | 07/21/2022 |
| Certification Date | 09/17/2021 |
| Medicare PECOS PAC ID | 8527463033 |
|---|---|
| Medicare Enrollment ID | O20211108000418 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538687934 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Kerrie Jewell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417357054 PECOS PAC ID: 8729403605 Enrollment ID: I20200810001732 |
| Provider Name | Kimi Haarmann |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528027521 PECOS PAC ID: 0446649487 Enrollment ID: I20241106002728 |
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