Enlightened Ways Therapy, Llc - Medicare Mental Health Clinic in Beloit, WI

Enlightened Ways Therapy, Llc is a medicare enrolled mental health clinic (Counselor - Professional) in Beloit, Wisconsin. The current practice location for Enlightened Ways Therapy, Llc is 2319 Boulder Ln, Beloit, Wisconsin. For appointments, you can reach them via phone at (608) 346-8843. The mailing address for Enlightened Ways Therapy, Llc is 2319 Boulder Ln, Beloit, Wisconsin and phone number is () -.

Enlightened Ways Therapy, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1073250437. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (608) 346-8843.

Contact Information

Enlightened Ways Therapy, Llc
2319 Boulder Ln
Beloit
WI 53511-6709
(608) 346-8843
Not Available

Mental Health Clinic Profile

Full NameEnlightened Ways Therapy, Llc
SpecialityCounselor
Location2319 Boulder Ln, Beloit, Wisconsin
Authorized Official Name and PositionAmberly Mixon (OWNER)
Authorized Official Contact6083468843
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Enlightened Ways Therapy, Llc
2319 Boulder Ln
Beloit
WI 53511-6709

Ph: () -
Enlightened Ways Therapy, Llc
2319 Boulder Ln
Beloit
WI 53511-6709

Ph: (608) 346-8843

NPI Details:

NPI Number1073250437
Provider Enumeration Date05/17/2022
Last Update Date04/13/2023
Certification Date04/13/2023

Medicare PECOS Information:

Medicare PECOS PAC ID9830560747
Medicare Enrollment IDO20230131002615

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Medical Identifiers

Medical identifiers for Enlightened Ways Therapy, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073250437NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YP2500XCounselor - Professional (* (Not Available))Primary
104100000XSocial Worker (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Enlightened Ways Therapy, Llc acts as a billing entity for following providers:
Provider NameFaith E Mattison
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1487686648
PECOS PAC ID: 1355386368
Enrollment ID: I20050621000576

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› Verified 8 days ago

Provider NameAmberly Jean Mixon
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1407401771
PECOS PAC ID: 1850762766
Enrollment ID: I20230131002656

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› Verified 8 days ago

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