OrganizationGottrich Counseling And Consulting Services PcCounselorBehavioral Health & Social Service ProvidersPractice Address975 S Durkin Dr, Suite 202, Springfield, IL 62704-1386(217) 726-9882PECOS EnrollmentBased on the most recent information from CMS, provider Gottrich Counseling And Consulting Services Pc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1508296559Provider TypeOrganizationFull NameGottrich Counseling And Consulting Services PcSubpartNoEnumeration Date11/12/2013Last Updated11/12/2013Contact InformationPractice LocationPractice Address975 S Durkin Dr, Suite 202, Springfield, IL 62704-1386Phone(217) 726-9882Fax(217) 726-9862Mailing LocationMailing Address975 S Durkin Dr, Suite 202, Springfield, IL 62704-1386Phone(217) 726-9882Fax(217) 726-9862Authorized OfficialNameGottrich, Kay A (President/Therapist)Phone(217) 726-9882Provider TaxonomiesCodeDescriptionLicenseCode101YP2500XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense180.004119Illinois