Independence Health & Therapy
A Medicare group practice based in Woodstock, IL: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 2062315849), with 11 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 2062315849
- Also listed as
- Independence Health and Therapy
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- IL
- Enrollments
- 1
- Group size
- 6 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 2
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20040129000421 | IL | Part B Supplier - Clinic/Group Practice | 1598717597 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Independence Health & Therapy
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Woodstock, IL
- NPI 1598717597
-
Independence Health & Therapy
- Public Health or Welfare Agency
- Woodstock, IL
- NPI 1184744625
Practice locations
- Woodstock, IL2
Clinicians 11
Clinicians who reassign their Medicare benefits to this group (11) or whom Care Compare lists as members (6).
-
Jennifer Balleto, LCPC
- Professional Counselor
- Woodstock, IL
- NPI 1558783100
-
Collin Scott Barber
- Physical Therapist
- Kenosha, WI
- NPI 1427672732
-
Jennifer Lynn Boston, MSW, LCSW
- Clinical Social Worker
- Woodstock, IL
- NPI 1922589076
-
Amy Jo Ceshker
- Clinical Social Worker
- Lake Geneva, WI
- NPI 1326631433
-
Yahaira Espada, M.D.
- Psychiatry Physician
- Cicero, IL
- NPI 1154638872
-
Shannon P Hart, LCSW
- Clinical Social Worker
- Barrington, IL
- NPI 1326780057
-
Venkata C Jampala, MD
- Psychiatry Physician
- Princeton, IL
- NPI 1235138579
-
Michael Dean Raida, M.D.
- Psychiatry Physician
- Chicago, IL
- NPI 1518910389
-
Marialba Romero Medina, M.D.
- Child & Adolescent Psychiatry Physician
- Monroe, MI
- NPI 1407040173
-
Mallory Schug, DPT
- Physical Therapist
- Woodstock, IL
- NPI 1730371915
-
Andrew Spitznas
- Psychiatry Physician
- Eau Claire, WI
- NPI 1447289251
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.