Jenesis E Clark, LPCC in Cincinnati, OH - Medicare Counselor Provider

Jenesis E Clark, LPCC is a medicare enrolled "Counselor" provider in Cincinnati, Ohio. Her current practice location is 3333 Burnet Ave Ml 3015, Cincinnati, Ohio. You can reach out to her office (for appointments etc.) via phone at (513) 636-4336.

Jenesis E Clark is licensed to practice in Ohio (license number E.2404016) 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 1972125821.

Contact Information

	Jenesis E Clark, LPCC
	3333 Burnet Ave Ml 3015, Cincinnati, OH 45229
	(513) 636-4336
	(513) 636-7756

Map and Direction

Healthcare Provider's Profile

Full Name	Jenesis E Clark
Gender	Female
Speciality	Counselor
Location	3333 Burnet Ave Ml 3015, Cincinnati, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972125821
Provider Enumeration Date: 05/14/2020
Last Update Date: 03/20/2024

Medicare PECOS Information:

PECOS PAC ID: 3476996380
Enrollment ID: I20240207004106

Medical Identifiers

Medical identifiers for Jenesis E Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972125821	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	E.2404016 (Ohio)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
101Y00000X	Counselor	E.2404016 (Ohio)	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. Jenesis E Clark allows following entities to bill medicare on her behalf.

Entity Name	Mindfully Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972702520 PECOS PAC ID: 3476606252 Enrollment ID: O20090727000253

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. Jenesis E Clark 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
Jenesis E Clark, LPCC 5556 Clearview Ave, Cincinnati, OH 45248-3216 Ph: () -	Jenesis E Clark, LPCC 3333 Burnet Ave Ml 3015, Cincinnati, OH 45229 Ph: (513) 636-4336

Reviews and Comments

Counselor in Cincinnati, OH

Mark Pruden, L.P.C.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 42 Calhoun St, Cincinnati, OH 45219 Phone: 513-861-6543 Fax: 513-381-0016
Mr. Brian Spears, MA, LPCC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 7265 Kenwood Rd Ste 321, Cincinnati, OH 45236 Phone: 513-657-8718
Jaime Surber, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11590 Century Blvd Ste 116, Cincinnati, OH 45246 Phone: 513-771-7239 Fax: 513-771-3878
Miss Sarah Marie Clark, COUNSELOR TRAINEE Counselor Medicare: Not Enrolled in Medicare Practice Location: 5050 Madison Rd, Cincinnati, OH 45227 Phone: 513-272-2800
Jennifer Mcniese, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3333 Burnet Ave, Ml 6019, Cincinnati, OH 45229 Phone: 513-636-4124 Fax: 513-636-4283
Kara Ann Meyer, M.A., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4030 Mount Carmel Tobasco Rd, Suite 209, Cincinnati, OH 45255 Phone: 513-718-0886
Wendy M Saunders, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 6852 E Farm Acres Dr, Cincinnati, OH 45237 Phone: 513-476-2777

Jenesis E Clark, LPCC - Medicare Counselor in Cincinnati, OH