Jessica Kay Kisling, LPCC in Minnetonka, MN - Medicare Counselor Provider

Jessica Kay Kisling, LPCC is a medicare enrolled "Counselor - Mental Health" provider in Minnetonka, Minnesota. Her current practice location is 12601 Ridgedale Dr, Social Service Center, Level 2, Minnetonka, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 348-7379.

Jessica Kay Kisling is licensed to practice in Minnesota (license number CC00337) 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 1073800637.

Contact Information

	Jessica Kay Kisling, LPCC
	12601 Ridgedale Dr, Social Service Center, Level 2, Minnetonka, MN 55305-1911
	(612) 348-7379
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jessica Kay Kisling
Gender	Female
Speciality	Counselor - Mental Health
Location	12601 Ridgedale Dr, Minnetonka, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073800637
Provider Enumeration Date: 07/05/2011
Last Update Date: 07/05/2011

Medicare PECOS Information:

PECOS PAC ID: 3971953761
Enrollment ID: I20231219003887

Medical Identifiers

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

Identifier	Type	State	Issuer
1073800637	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	CC00337 (Minnesota)	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 Kay Kisling allows following entities to bill medicare on her behalf.

Entity Name	Canvas Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922051325 PECOS PAC ID: 8729073978 Enrollment ID: O20040416001178

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 Kay Kisling 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 Kay Kisling, LPCC 5412 Bernard Ave N, Crystal, MN 55429-3625 Ph: (612) 701-0963	Jessica Kay Kisling, LPCC 12601 Ridgedale Dr, Social Service Center, Level 2, Minnetonka, MN 55305-1911 Ph: (612) 348-7379

Reviews and Comments

Counselor in Minnetonka, MN

James Patrick Mcenroe, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11900 Wayzata Blvd Ste 100, Minnetonka, MN 55305 Phone: 612-454-2412 Fax: 952-546-1683
Michelle Carey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10101 Bren Rd E Unit 414, Minnetonka, MN 55343 Phone: 763-242-1659
Jamie L.k. Rohwer, L.P.C.C. Counselor Medicare: Medicare Enrolled Practice Location: 5125 County Road 101, Suite 300, Minnetonka, MN 55345 Phone: 952-932-7277 Fax: 952-932-9827
Jordan Nielsen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 360 Carlson Pkwy Apt 105, Minnetonka, MN 55305 Phone: 763-744-7359
Meghan Elizabeth Hof, MA, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3395 Plymouth Rd, Minnetonka, MN 55305 Phone: 952-939-0396
Charell Dutton, Counselor Medicare: Medicare Enrolled Practice Location: 13100 Wayzata Blvd Ste 200, Minnetonka, MN 55305 Phone: 952-206-2040
Jennifer Petzoldt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5860 Baker Rd, Minnetonka, MN 55345 Phone: 612-759-2697

Jessica Kay Kisling, LPCC - Medicare Counselor in Minnetonka, MN