Jessica Ann Headley, LPC in Canton, OH - Medicare Counselor Provider

Jessica Ann Headley, LPC is a medicare enrolled "Counselor - Mental Health" provider in Canton, Ohio. Her current practice location is 4200 Munson St Nw, Suite A, Canton, Ohio. You can reach out to her office (for appointments etc.) via phone at (330) 915-2907.

Jessica Ann Headley is licensed to practice in Ohio (license number E.1901408-SUPV) 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 1316450562.

Contact Information

	Jessica Ann Headley, LPC
	4200 Munson St Nw, Suite A, Canton, OH 44718-2981
	(330) 915-2907
	(330) 915-2958

Map and Direction

Healthcare Provider's Profile

Full Name	Jessica Ann Headley
Gender	Female
Speciality	Counselor - Mental Health
Location	4200 Munson St Nw, Canton, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316450562
Provider Enumeration Date: 11/09/2017
Last Update Date: 05/15/2023

Medicare PECOS Information:

PECOS PAC ID: 8325437437
Enrollment ID: I20240126003013

Medical Identifiers

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

Identifier	Type	State	Issuer
1316450562	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	C.1000300 (Ohio)	Secondary
101YM0800X	Counselor - Mental Health	E.1901408-SUPV (Ohio)	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 Ann Headley allows following entities to bill medicare on her behalf.

Entity Name	Wellness Grove Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043899859 PECOS PAC ID: 5092104109 Enrollment ID: O20211111000586

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 Ann Headley 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 Ann Headley, LPC 4200 Munson St Nw, Suite A, Canton, OH 44718-2981 Ph: (330) 915-2907	Jessica Ann Headley, LPC 4200 Munson St Nw, Suite A, Canton, OH 44718-2981 Ph: (330) 915-2907

Reviews and Comments

Counselor in Canton, OH

Joseph N Lockett, LICDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1341 Market Ave N, Canton, OH 44714 Phone: 330-453-8252 Fax: 330-453-6716
Amy Nelson, CT, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1341 Market Ave N, Canton, OH 44714 Phone: 330-453-8252
Hillary A Whiteman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1341 Market Ave N, Canton, OH 44714 Phone: 330-453-8252 Fax: 330-453-6716
Brendan Rowe, CT Counselor Medicare: Not Enrolled in Medicare Practice Location: 4522 Fulton Dr Nw, Canton, OH 44718 Phone: 330-915-2907
Obiageri Ebere Ngwaogu, CT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1341 Market Ave N, Canton, OH 44714 Phone: 330-453-8252 Fax: 330-452-4655
Kelli N Mann, PCC Counselor Medicare: Medicare Enrolled Practice Location: 3745 Whipple Ave Nw Ste A, Canton, OH 44718 Phone: 330-331-7506
Zakree Buccitelli, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 4522 Fulton Dr Nw, Canton, OH 44718 Phone: 330-915-2907

Jessica Ann Headley, LPC - Medicare Counselor in Canton, OH