Jenna Terry, NCC, LPC/MHSP in Kingsport, TN - Medicare Counselor Provider

Jenna Terry, NCC, LPC/MHSP is a medicare enrolled "Counselor - Professional" provider in Kingsport, Tennessee. Her current practice location is 1025 Executive Park Blvd, Kingsport, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 830-8110.

Jenna Terry is licensed to practice in Tennessee (license number 4208) 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 1699320481.

Contact Information

	Jenna Terry, NCC, LPC/MHSP
	1025 Executive Park Blvd, Kingsport, TN 37660-4309
	(423) 830-8110
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jenna Terry
Gender	Female
Speciality	Counselor - Professional
Location	1025 Executive Park Blvd, Kingsport, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699320481
Provider Enumeration Date: 08/07/2019
Last Update Date: 05/20/2024

Medicare PECOS Information:

PECOS PAC ID: 8820537467
Enrollment ID: I20240828000663

Medical Identifiers

Medical identifiers for Jenna Terry such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699320481	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	4208 (Tennessee)	Secondary
101YP2500X	Counselor - Professional	4208 (Tennessee)	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. Jenna Terry allows following entities to bill medicare on her behalf.

Entity Name	Healthy Mind Counseling Services, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457409898 PECOS PAC ID: 8325093081 Enrollment ID: O20070827000096

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. Jenna Terry 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
Jenna Terry, NCC, LPC/MHSP 1201 Beechwood Dr, Johnson City, TN 37604-6305 Ph: (423) 943-2091	Jenna Terry, NCC, LPC/MHSP 1025 Executive Park Blvd, Kingsport, TN 37660-4309 Ph: (423) 830-8110

Reviews and Comments

Counselor in Kingsport, TN

Andrea Nicole Mccloud, MA, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 605 Watauga St, Kingsport, TN 37660 Phone: 423-408-2601
Ms. Kristy Mae Tipton, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1570 Waverly Rd, Kingsport, TN 37664 Phone: 423-224-1300 Fax: 423-224-1375
Debra Lavery Sensibaugh, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2001 Stonebrook Pl, Kingsport, TN 37660 Phone: 423-224-1000
Joshua Paul Ledford, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 2001 Stonebrook Pl, Kingsport, TN 37660 Phone: 423-224-1000 Fax: 423-224-1023
Harold B Leonard, LPC Counselor Medicare: Medicare Enrolled Practice Location: 2300 Pavilion Dr, Kingsport, TN 37660 Phone: 423-857-5571 Fax: 423-857-5237
Rebecca Leigh Waldenstrom, MED Counselor Medicare: Not Enrolled in Medicare Practice Location: 2001 Stonebrook Pl, Kingsport, TN 37660 Phone: 423-224-1000 Fax: 423-224-1023
Kelly J Medlin, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2001 E Stonebrook Pl, Kingsport, TN 37660 Phone: 423-224-1000 Fax: 423-467-3644

Jenna Terry, NCC, LPC/MHSP - Medicare Counselor in Kingsport, TN