Jacqueline M Simien, LPC, LCDC-I in Austin, TX

Jacqueline M Simien, LPC, LCDC-I is a medicare enrolled "Counselor - Mental Health" provider in Austin, Texas. Her current practice location is 2021 Guadalupe St Ste 260, Austin, Texas. You can reach out to her office (for appointments etc.) via phone at (646) 453-6777.

Jacqueline M Simien is licensed to practice in Texas (license number 89291) 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 1376396424.

Contact Information

	Jacqueline M Simien, LPC, LCDC-I
	2021 Guadalupe St Ste 260, Austin, TX 78705-5654
	(646) 453-6777
	(833) 900-1747

Map and Direction

Healthcare Provider's Profile

Full Name	Jacqueline M Simien
Gender	Female
Speciality	Counselor - Mental Health
Location	2021 Guadalupe St Ste 260, Austin, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376396424
Provider Enumeration Date: 04/09/2024
Last Update Date: 04/09/2024

Medicare PECOS Information:

PECOS PAC ID: 1153762786
Enrollment ID: I20240514003526

Medical Identifiers

Medical identifiers for Jacqueline M Simien such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376396424	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	89291 (Texas)	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. Jacqueline M Simien allows following entities to bill medicare on her behalf.

Entity Name	Kinghaven Counseling Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396807350 PECOS PAC ID: 5597898510 Enrollment ID: O20100728000390

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. Jacqueline M Simien 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
Jacqueline M Simien, LPC, LCDC-I 4930 Sugar Grove Blvd Apt 2703, Stafford, TX 77477-2607 Ph: (832) 449-0812	Jacqueline M Simien, LPC, LCDC-I 2021 Guadalupe St Ste 260, Austin, TX 78705-5654 Ph: (646) 453-6777

Reviews and Comments

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Jacqueline M Simien, LPC, LCDC-I - Medicare Counselor in Austin, TX