Jennifer Gross, | |
3161 Custer Dr Ste 4, Lexington, KY 40517-4067 | |
(859) 977-6080 | |
(859) 977-4502 |
Full Name | Jennifer Gross |
---|---|
Gender | Female |
Speciality | Counselor |
Location | 3161 Custer Dr Ste 4, Lexington, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902283336 | NPI | - | NPPES |
1790731081 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | LPCCCA00218578 (Kentucky) | Primary |
Entity Name | New Vista Of The Bluegrass Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790731081 PECOS PAC ID: 6608773619 Enrollment ID: O20031217000869 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Gross, 3161 Custer Dr Ste 4, Lexington, KY 40517-4067 Ph: (859) 977-6080 | Jennifer Gross, 3161 Custer Dr Ste 4, Lexington, KY 40517-4067 Ph: (859) 977-6080 |
Sarah E Ford, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1351 Newtown Pike, Lexington, KY 40511 Phone: 859-253-1686 | |
Michael S Stratton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1351 Newtown Pike, Lexington, KY 40511 Phone: 859-253-1686 | |
Martin Bennett Hundley, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 274 Southland Dr # 204, Lexington, KY 40503 Phone: 859-278-3456 | |
Tiffany Morgan Johnson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1351 Newtown Pike Bldg 1, Lexington, KY 40511 Phone: 589-253-1686 | |
Teonna Wilson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1351 Newtown Pike, Lexington, KY 40511 Phone: 859-253-1686 | |
Mr. Andre Riddick Sr., LPCC Counselor Medicare: Medicare Enrolled Practice Location: 1301 Winchester Rd Ste 147, Lexington, KY 40505 Phone: 859-991-0710 Fax: 859-309-1791 | |
Ms. Terri J Powell, LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 845 Lane Allen Rd, Suite B-5, Lexington, KY 40504 Phone: 859-373-0572 Fax: 859-373-0572 |