Jacob Clemen, is a
Counselor - Mental Health based in Kingston, Rhode Island. Jacob Clemen is licensed to practice in Rhode Island (license number MHC00179-A) and his current practice location is
90 Lower College Rd Ste 238, Kingston, Rhode Island. He can be reached at his office (for appointments etc.) via phone at
(401) 874-9085.
NPI number for Jacob Clemen is 1467208561 and his current mailing address is Po Box 1845, Kingston, Rhode Island. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1467208561.
Healthcare Provider's Profile
| Full Name | Jacob Clemen |
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| Gender | Male |
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| Speciality | Counselor - Mental Health |
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| Location | 90 Lower College Rd Ste 238, Kingston, Rhode Island |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1467208561
- Provider Enumeration Date: 04/29/2024
- Last Update Date: 04/29/2024
Medical Identifiers
Medical identifiers for Jacob Clemen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467208561 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | MHC00179-A (Rhode Island) | Primary |
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. Jacob Clemen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jacob Clemen,
Po Box 1845,
Kingston, RI 02881-0498
Ph: () - | Jacob Clemen,
90 Lower College Rd Ste 238,
Kingston, RI 02881-1970
Ph: (401) 874-9085 |
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