Mind, Body & Soul Counseling, Llc - Medicare Mental Health Clinic in Janesville, WI

Mind, Body & Soul Counseling, Llc is a medicare enrolled mental health clinic (Clinic/center - Mental Health (including Community Mental Health Center)) in Janesville, Wisconsin. The current practice location for Mind, Body & Soul Counseling, Llc is 1326 Creston Park Dr, Janesville, Wisconsin. For appointments, you can reach them via phone at (608) 931-7224. The mailing address for Mind, Body & Soul Counseling, Llc is 1326 Creston Park Dr, Janesville, Wisconsin and phone number is () -.

Mind, Body & Soul Counseling, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1376289439. 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) 931-7224.

Contact Information

Mind, Body & Soul Counseling, Llc
1326 Creston Park Dr
Janesville
WI 53545-1156
(608) 931-7224
Not Available

Mental Health Clinic Profile

Full NameMind, Body & Soul Counseling, Llc
SpecialityClinic/Center
Location1326 Creston Park Dr, Janesville, Wisconsin
Authorized Official Name and PositionAmanda Isunza (OWNER)
Authorized Official Contact6089317224
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mind, Body & Soul Counseling, Llc
1326 Creston Park Dr
Janesville
WI 53545-1156

Ph: () -
Mind, Body & Soul Counseling, Llc
1326 Creston Park Dr
Janesville
WI 53545-1156

Ph: (608) 931-7224

NPI Details:

NPI Number1376289439
Provider Enumeration Date05/10/2022
Last Update Date05/10/2022
Certification Date05/10/2022

Medicare PECOS Information:

Medicare PECOS PAC ID9436505948
Medicare Enrollment IDO20231019001175

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Medical Identifiers

Medical identifiers for Mind, Body & Soul Counseling, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376289439NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM0801XClinic/center - Mental Health (including Community Mental Health Center) (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Mind, Body & Soul Counseling, Llc acts as a billing entity for following providers:
Provider NameAmanda Isunza
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1881085959
PECOS PAC ID: 9234480260
Enrollment ID: I20181001002324

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Clinic/Center in Janesville, WI

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