Mr John Clay Self, LPC, LCDC in Natalia, TX - Medicare Counselor Provider

Mr John Clay Self, LPC, LCDC is a medicare enrolled "Counselor - Professional" provider in Natalia, Texas. His current practice location is 743 County Road 6711, Natalia, Texas. You can reach out to his office (for appointments etc.) via phone at (210) 776-4028.

Mr John Clay Self is licensed to practice in Texas (license number 72206) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1891120440.

Contact Information

	Mr John Clay Self, LPC, LCDC
	743 County Road 6711, Natalia, TX 78059-2696
	(210) 776-4028
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr John Clay Self
Gender	Male
Speciality	Counselor - Professional
Location	743 County Road 6711, Natalia, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891120440
Provider Enumeration Date: 09/13/2013
Last Update Date: 03/25/2024

Medicare PECOS Information:

PECOS PAC ID: 1951750611
Enrollment ID: I20231207001028

Medical Identifiers

Medical identifiers for Mr John Clay Self such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891120440	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	5623 (Texas)	Secondary
101YM0800X	Counselor - Mental Health	72206 (Texas)	Secondary
101YP2500X	Counselor - Professional	72206 (Texas)	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. Mr John Clay Self allows following entities to bill medicare on his behalf.

Entity Name	Thrive Counseling Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215181300 PECOS PAC ID: 0749458420 Enrollment ID: O20210706003672

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220525002138

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. Mr John Clay Self 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
Mr John Clay Self, LPC, LCDC 743 County Road 6711, Natalia, TX 78059-2696 Ph: (210) 776-4028	Mr John Clay Self, LPC, LCDC 743 County Road 6711, Natalia, TX 78059-2696 Ph: (210) 776-4028

Reviews and Comments

Counselor in Natalia, TX

Ms. Lorraine Emery Ortiz, L. P. C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 19354 Fm 471 S, Natalia, TX 78059 Phone: 210-774-6382 Fax: 210-579-7071
Ann Gilkey, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 County Road 6780, Natalia, TX 78059 Phone: 210-887-5011
Mrs. Kandice K Annis, LPC, NCC, LCDCI Counselor Medicare: Not Enrolled in Medicare Practice Location: 480 W County Road 6714, Natalia, TX 78059 Phone: 210-259-5037
Rita Ida Clark, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2590 County Road 770, Natalia, TX 78059 Phone: 830-355-7919
Ms. Wenona Nephta-li Wray, LPC, NCC Counselor Medicare: Medicare Enrolled Practice Location: 977 County Road 6711 Ste 3, Natalia, TX 78059 Phone: 830-772-6009 Fax: 830-772-6019
Alberto Felix Bustamante, Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 County Road 6712, Natalia, TX 78059 Phone: 210-857-4208

Mr John Clay Self, LPC, LCDC - Medicare Counselor in Natalia, TX