Miss Carissa Jennie Gill, LPC in Little Rock, AR

Miss Carissa Jennie Gill, LPC is a medicare enrolled "Counselor - Professional" provider in Little Rock, Arkansas. Her current practice location is 10025 W. Markham Street, Ste 210, Little Rock, Arkansas. You can reach out to her office (for appointments etc.) via phone at (501) 663-5473.

Miss Carissa Jennie Gill is licensed to practice in Arkansas (license number P2006022) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1053786004.

Contact Information

	Miss Carissa Jennie Gill, LPC
	10025 W. Markham Street, Ste 210, Little Rock, AR 72205-2178
	(501) 663-5473
	(501) 801-1816

Map and Direction

Healthcare Provider's Profile

Full Name	Miss Carissa Jennie Gill
Gender	Female
Speciality	Counselor - Professional
Location	10025 W. Markham Street, Little Rock, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053786004
Provider Enumeration Date: 12/02/2015
Last Update Date: 01/04/2023

Medicare PECOS Information:

PECOS PAC ID: 5496104176
Enrollment ID: I20240628000684

Medical Identifiers

Medical identifiers for Miss Carissa Jennie Gill such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053786004	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	A1511157 (Arkansas)	Secondary
101YP2500X	Counselor - Professional	P2006022 (Arkansas)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Miss Carissa Jennie Gill allows following entities to bill medicare on her behalf.

Entity Name	Living Hope Southeast, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689877862 PECOS PAC ID: 3072605831 Enrollment ID: O20070823001023

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Carissa Jennie Gill is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Miss Carissa Jennie Gill, LPC 10025 W. Markham Street, Ste 210, Little Rock, AR 72205-2178 Ph: (501) 663-5473	Miss Carissa Jennie Gill, LPC 10025 W. Markham Street, Ste 210, Little Rock, AR 72205-2178 Ph: (501) 663-5473

Reviews and Comments

Counselor in Little Rock, AR

Crystal Ann Mcmullen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5918 Lee Ave, Little Rock, AR 72205 Phone: 501-669-2199
Colleen Stone, MHPP Counselor Medicare: Not Enrolled in Medicare Practice Location: 20400 Col Glenn Rd, Little Rock, AR 72210 Phone: 501-821-5500
Mrs. Adrienne Reeves, L.P.E. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1900 Aldersgate Rd, Little Rock, AR 72205 Phone: 501-821-5459 Fax: 501-821-6116
David Laser Jr., BS, MBA, CIT Counselor Medicare: Not Enrolled in Medicare Practice Location: 3700 W 65th St, Little Rock, AR 72209 Phone: 479-806-0469
Crystal Goins, QBHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 20400 Colonel Glenn Rd, Little Rock, AR 72210 Phone: 501-821-5500
Abigail Campbell, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Lile Ct Ste 200, Little Rock, AR 72205 Phone: 479-964-2011
Mr. Michael Ekdahl, LPE-I Counselor Medicare: Not Enrolled in Medicare Practice Location: 5800 West 10th Street, Suite 600, Little Rock, AR 72204 Phone: 501-660-6817 Fax: 501-660-6825

Miss Carissa Jennie Gill, LPC - Medicare Counselor in Little Rock, AR