| Open Mind Counseling Services Inc | |
|
1701 E Woodfield Rd Ste 435 Schaumburg IL 60173-5129 | |
| (224) 269-4551 | |
| (224) 347-1141 |
| Full Name | Open Mind Counseling Services Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1701 E Woodfield Rd Ste 435, Schaumburg, Illinois |
| Authorized Official Name and Position | Pooja Patel (CEO) |
| Authorized Official Contact | 2242694551 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Open Mind Counseling Services Inc Po Box 8012 Bartlett IL 60103-8012 Ph: (224) 269-4551 | Open Mind Counseling Services Inc 1701 E Woodfield Rd Ste 435 Schaumburg IL 60173-5129 Ph: (224) 269-4551 |
| NPI Number | 1063131621 |
|---|---|
| Provider Enumeration Date | 08/25/2022 |
| Last Update Date | 03/30/2024 |
| Certification Date | 03/30/2024 |
| Medicare PECOS PAC ID | 7012384290 |
|---|---|
| Medicare Enrollment ID | O20221031003023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063131621 | NPI | - | NPPES |
| Provider Name | Heta Shah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619427069 PECOS PAC ID: 5496011744 Enrollment ID: I20171102001640 |
| Provider Name | Pooja Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699257105 PECOS PAC ID: 8820330798 Enrollment ID: I20190424001258 |
| Provider Name | Raquel Nashlee Cameron |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528786357 PECOS PAC ID: 2466820352 Enrollment ID: I20221128000891 |
| Provider Name | Nicol Kayla Osborne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366110165 PECOS PAC ID: 8224407705 Enrollment ID: I20221205001754 |
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