Jennifer Gardner, LPC, NCC in Springfield, VA

Jennifer Gardner, LPC, NCC is a medicare enrolled "Counselor" provider in Springfield, Virginia. Her current practice location is 8125 Parkdale Ct, Springfield, Virginia. You can reach out to her office (for appointments etc.) via phone at (703) 864-2005.

Jennifer Gardner is licensed to practice in Virginia (license number 0701012660) 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 1649045907.

Contact Information

	Jennifer Gardner, LPC, NCC
	8125 Parkdale Ct, Springfield, VA 22153-3603
	(703) 864-2005
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jennifer Gardner
Gender	Female
Speciality	Counselor
Location	8125 Parkdale Ct, Springfield, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649045907
Provider Enumeration Date: 11/16/2023
Last Update Date: 11/16/2023

Medicare PECOS Information:

PECOS PAC ID: 4284166398
Enrollment ID: I20241015000125

Medical Identifiers

Medical identifiers for Jennifer Gardner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649045907	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	0701012660 (Virginia)	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. Jennifer Gardner allows following entities to bill medicare on her behalf.

Entity Name	Affect Therapeutics Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104402064 PECOS PAC ID: 4284071903 Enrollment ID: O20240521002212

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. Jennifer Gardner 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
Jennifer Gardner, LPC, NCC 8125 Parkdale Ct, Springfield, VA 22153-3603 Ph: (703) 864-2005	Jennifer Gardner, LPC, NCC 8125 Parkdale Ct, Springfield, VA 22153-3603 Ph: (703) 864-2005

Reviews and Comments

Counselor in Springfield, VA

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Rosalind G Rogers, PHD, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7312 Eggar Woods Ln, Springfield, VA 22153 Phone: 954-882-5392
Mrs. Kaitlyn Zito, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6106 Roxbury Ave, Springfield, VA 22152 Phone: 202-604-3450

Jennifer Gardner, LPC, NCC - Medicare Counselor in Springfield, VA