Jessica Goodrich, LPC in Green Bay, WI - Medicare Counselor Provider

Jessica Goodrich, LPC is a medicare enrolled "Counselor - Professional" provider in Green Bay, Wisconsin. Her current practice location is 2670 S Ashland Ave Ste 202, Green Bay, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 241-9831.

Jessica Goodrich is licensed to practice in Wisconsin (license number 10439-125) 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 1720742950.

Contact Information

	Jessica Goodrich, LPC
	2670 S Ashland Ave Ste 202, Green Bay, WI 54304-5300
	(920) 241-9831
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jessica Goodrich
Gender	Female
Speciality	Counselor - Professional
Location	2670 S Ashland Ave Ste 202, Green Bay, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720742950
Provider Enumeration Date: 10/25/2021
Last Update Date: 09/19/2024

Medicare PECOS Information:

PECOS PAC ID: 8426408055
Enrollment ID: I20240418003192

Medical Identifiers

Medical identifiers for Jessica Goodrich such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720742950	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	(* (Not Available))	Secondary
101YP2500X	Counselor - Professional	10439-125 (Wisconsin)	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. Jessica Goodrich allows following entities to bill medicare on her behalf.

Entity Name	Sherman Counseling Management Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235251349 PECOS PAC ID: 8921338187 Enrollment ID: O20191001002490

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. Jessica Goodrich 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
Jessica Goodrich, LPC 1409 S Jackson St, Green Bay, WI 54301-2338 Ph: (715) 938-0097	Jessica Goodrich, LPC 2670 S Ashland Ave Ste 202, Green Bay, WI 54304-5300 Ph: (920) 241-9831

Reviews and Comments

Counselor in Green Bay, WI

Louise Clara Daul, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 123 N Oakland Ave, Green Bay, WI 54303 Phone: 920-770-4088 Fax: 651-705-0026
Kristin Flannery, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2920 S Webster Ave, Green Bay, WI 54301 Phone: 920-639-1914
Mr. John Barajas, LPC-IT, SAC-IT Counselor Medicare: Medicare Enrolled Practice Location: 424 S Monroe Ave Ste 201, Green Bay, WI 54301 Phone: 920-445-0170 Fax: 920-445-0174
Robyn L Rickert, M.S., L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 130 E Walnut St, Suite 406, Green Bay, WI 54301 Phone: 920-884-1187 Fax: 920-227-4100
Joanne Marie Torres, LPC, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2640 West Point Road, Green Bay, WI 54304 Phone: 920-490-3790
Mr. Christopher Anthony Buckman, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1499 6th St, Green Bay, WI 54304 Phone: 920-497-6161 Fax: 920-498-0476
Jodi Anderson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2325 Verlin Rd Ste 203, Green Bay, WI 54311 Phone: 920-655-0859

Jessica Goodrich, LPC - Medicare Counselor in Green Bay, WI