MEDICARE: WOODSTOCK THERAPIST LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	261QM0850X	Adult Mental Health Clinic/Center
2	261QM0855X	Adolescent and Children Mental Health Clinic/Center
3	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1003358037
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WOODSTOCK THERAPIST LLC

Provider Business Mailing Address
First Line	:	224 W JUDD ST
Second Line	:
City	:	WOODSTOCK
State	:	IL
Zip	:	60098-3199
Country	:	US
Telephone Number	:	815-236-3272
Fax Number	:	844-734-1259

Provider Business Practice Location Address
First Line	:	224 W JUDD ST
Second Line	:
City	:	WOODSTOCK
State	:	IL
Zip	:	60098-3199
Country	:	US
Telephone Number	:	815-345-3400
Fax Number	:	844-734-1259

Authorized Official
Title or Position	:	OWNER/THERAPIST
Name	:	MRS. LINDSAY KEISMAN
Credential	:	LCPC
Telephone Number	:	815-345-3400

Provider Enumeration Date	:	11/08/2016
Last Update Date	:	02/23/2024

Similar Medicare Providers

1669301461 — HANNAH CARLSON
Practice Location Address:

224 W JUDD ST
WOODSTOCK, IL
60098-3199

Practice Phone: 407-963-8294
Practice Fax:

1598934176 — WOODSTOCK SCHOOL DISTRICT
Practice Location Address:

224 W JUDD ST
WOODSTOCK, IL
60098-3199

Practice Phone: 815-338-8200
Practice Fax: 815-338-2005

1245945286 — TERESA BERNADETTE LINDAHL LSW
Practice Location Address:

224 W JUDD ST
WOODSTOCK, IL
60098-3199

Practice Phone: 815-345-3400
Practice Fax: 844-734-1259

1053018929 — NATALIE FREEMAN LPC, CDWF
Practice Location Address:

224 W JUDD ST
WOODSTOCK, IL
60098-3199

Practice Phone: 815-345-3400
Practice Fax:

1447108048 — SHIVANGI PATEL
Practice Location Address:

517 BROOKESHYRE CT
WOODSTOCK, GA
30188-3199

Practice Phone: 470-269-4588
Practice Fax:

1720089865 — DR. JESSICA DIXON HEINKE O.D.
Practice Location Address:

233 WASHINGTON ST
WOODSTOCK, IL
60098-3399

Practice Phone: 815-338-0674
Practice Fax: 815-338-6139

Directions to “WOODSTOCK THERAPIST LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.