| Jennifer Cieslak, LPCC | |
|
2000 Ring Rd, Elizabethtown, KY 42701-9454 | |
| (270) 506-2730 | |
| (270) 900-0704 |
| Full Name | Jennifer Cieslak |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 2000 Ring Rd, Elizabethtown, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720726326 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 277794 (Kentucky) | Secondary |
| 101YP2500X | Counselor - Professional | 292303 (Kentucky) | Primary |
| Entity Name | Astra Behavioral Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922427517 PECOS PAC ID: 0749406577 Enrollment ID: O20140730002637 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Cieslak, LPCC 104 Joshua Ct, Radcliff, KY 40160-8791 Ph: (502) 378-2255 | Jennifer Cieslak, LPCC 2000 Ring Rd, Elizabethtown, KY 42701-9454 Ph: (270) 506-2730 |
Venda Rogers Walter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 107 Cranes Roost Ct, Elizabethtown, KY 42701 Phone: 270-765-2605 | |
Rachel Ragin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 107 Cranes Roost Ct, Elizabethtown, KY 42701 Phone: 270-765-2605 | |
Stephanie Brooke Mace, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Diecks Dr, Elizabethtown, KY 42701 Phone: 270-238-1485 Fax: 270-900-1037 | |
Amy Dennis Jennings, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1311 N Dixie Ave Bldg B, Elizabethtown, KY 42701 Phone: 270-765-5145 Fax: 270-982-9209 | |
Stephen Walter Hill, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 107 Cranes Roost Ct, Elizabethtown, KY 42701 Phone: 270-765-2605 Fax: 270-234-0723 | |
Lori Tipple, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1105 Julianna Ct Ste 1, Elizabethtown, KY 42701 Phone: 270-769-3714 | |
Rebecca Chambers, LCSW; CADC Counselor Medicare: Accepting Medicare Assignments Practice Location: 151 Drexler Cir, Elizabethtown, KY 42701 Phone: 270-982-9495 |