Jessica K Wright, LCMHC | |
28 Pleasant St, Randolph, VT 05060-1265 | |
(802) 505-8596 | |
Not Available |
Full Name | Jessica K Wright |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 28 Pleasant St, Randolph, Vermont |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629091715 | NPI | - | NPPES |
1007326 | Medicaid | VT | |
14Y000794VT01 | Other | VT | BC/BS OF NH |
00048725 | Other | VT | BC/BS OF VT |
989026C | Other | VT | MVP HEALTHCARE |
373342 | Other | VT | TRICARE |
2052859 | Other | VT | CIGNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 068-0000468 (Vermont) | Primary |
Entity Name | Jessica K. Wright, Lcmhc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265196620 PECOS PAC ID: 7719339415 Enrollment ID: O20240118001482 |
Mailing Address | Practice Location Address |
---|---|
Jessica K Wright, LCMHC 3488 Thayer Brook Rd, Braintree, VT 05060-9201 Ph: (802) 505-8596 | Jessica K Wright, LCMHC 28 Pleasant St, Randolph, VT 05060-1265 Ph: (802) 505-8596 |
Renee Weeks, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11 S Main St, Randolph, VT 05060 Phone: 802-728-4466 Fax: 802-728-4197 | |
David Pellegrino, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11 S Main St, Randolph, VT 05060 Phone: 802-728-4466 Fax: 802-728-4197 | |
Jessica Schupp, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11 Main Street, Randolph, VT 05060 Phone: 802-728-4466 Fax: 802-728-4197 | |
Howard Hood, LCMHC Counselor Medicare: Medicare Enrolled Practice Location: 11 S Main St, Randolph, VT 05060 Phone: 802-728-4466 Fax: 802-728-4197 | |
Adam Bindrum, Counselor Medicare: Medicare Enrolled Practice Location: 11 N Main St, Randolph, VT 05060 Phone: 802-728-4466 | |
Kara Rebecca Toms, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11 N Main St, Randolph, VT 05060 Phone: 802-728-4466 Fax: 802-728-4197 | |
Kerrie Taylor, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11 S Main St, Randolph, VT 05060 Phone: 802-728-4466 Fax: 802-728-4197 |