Jennifer J Johnson, TLPC | |
5815 Broadway Ave, Great Bend, KS 67530-3123 | |
(620) 792-2544 | |
(620) 792-7052 |
Full Name | Jennifer J Johnson |
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Gender | Female |
Speciality | Counselor |
Location | 5815 Broadway Ave, Great Bend, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285988907 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | TLPC 2446 (Kansas) | Primary |
Entity Name | Center For Counseling And Consultation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104862549 PECOS PAC ID: 2961458518 Enrollment ID: O20050325000690 |
Mailing Address | Practice Location Address |
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Jennifer J Johnson, TLPC 5815 Broadway Ave, Great Bend, KS 67530-3123 Ph: (620) 792-2544 | Jennifer J Johnson, TLPC 5815 Broadway Ave, Great Bend, KS 67530-3123 Ph: (620) 792-2544 |
Charity Ann Muth, LCAC/LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1916 16th St, Great Bend, KS 67530 Phone: 620-792-5405 | |
Ashley Kathryn Davis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1406 Harding St, Great Bend, KS 67530 Phone: 316-429-8678 | |
Mrs. Carol Louise Dellinger, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 245 Ne 30 Rd, Great Bend, KS 67530 Phone: 620-792-9295 Fax: 620-792-3238 | |
Sherry K Pruter, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 155 Se 1 Ave, Great Bend, KS 67530 Phone: 620-786-7105 | |
Drew Andrew Hosman Sr., LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1105 Main St Ste D, Great Bend, KS 67530 Phone: 620-282-7755 | |
Alisha Bell-markley, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1819 11th St, Great Bend, KS 67530 Phone: 620-603-6257 Fax: 620-603-6259 | |
Laura N Haugaard, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5815 Broadway, Great Bend, KS 67530 Phone: 620-792-2544 Fax: 620-792-7052 |