Jennifer Stewart Willis, LPC in Fort Worth, TX

Jennifer Stewart Willis, LPC is a medicare enrolled "Counselor - Professional" provider in Fort Worth, Texas. Her current practice location is 3840 Hulen St, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 335-3022.

Jennifer Stewart Willis is licensed to practice in Texas (license number 75254) 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 1598268724.

Contact Information

	Jennifer Stewart Willis, LPC
	3840 Hulen St, Fort Worth, TX 76107-7277
	(817) 335-3022
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jennifer Stewart Willis
Gender	Female
Speciality	Counselor - Professional
Location	3840 Hulen St, Fort Worth, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598268724
Provider Enumeration Date: 03/14/2018
Last Update Date: 12/19/2019

Medicare PECOS Information:

PECOS PAC ID: 8921458175
Enrollment ID: I20231229001420

Medical Identifiers

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

Identifier	Type	State	Issuer
1598268724	NPI	-	NPPES
0	Other		NONE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	75254 (Texas)	Primary
101YM0800X	Counselor - Mental Health	75254 (Texas)	Secondary

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 Stewart Willis allows following entities to bill medicare on her behalf.

Entity Name	Sondermind Provider Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210326001541

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 Stewart Willis 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 Stewart Willis, LPC 4228 Jenny Lake Trl, Fort Worth, TX 76244-6921 Ph: (817) 300-0291	Jennifer Stewart Willis, LPC 3840 Hulen St, Fort Worth, TX 76107-7277 Ph: (817) 335-3022

Reviews and Comments

Counselor in Fort Worth, TX

Jamie L Cole, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 801 7th Ave, Case Management, Fort Worth, TX 76104 Phone: 682-885-3991
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Jessica Batts, MA, LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5601 Bridge St, Ste. 300, Fort Worth, TX 76112 Phone: 682-292-8413
Carrie Rimato, Counselor Medicare: Medicare Enrolled Practice Location: 9840 Gallatin Ln, Fort Worth, TX 76177 Phone: 979-236-8325
Brittany Leann Kirk, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 901 7th Ave Ste 2100, Fort Worth, TX 76104 Phone: 682-885-1480 Fax: 682-885-3600

Jennifer Stewart Willis, LPC - Medicare Counselor in Fort Worth, TX