Kessa Mystique Stephenson-taylor, AA, BA in Longview, WA

Kessa Mystique Stephenson-taylor, AA, BA is a medicare enrolled "Counselor - Mental Health" provider in Longview, Washington. Her current practice location is 1430 16th Ave, Longview, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 799-4556.

Kessa Mystique Stephenson-taylor is licensed to practice in * (Not Available) (license number ) 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 1255833885.

Contact Information

	Kessa Mystique Stephenson-taylor, AA, BA
	1430 16th Ave, Longview, WA 98632-2901
	(360) 799-4556
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kessa Mystique Stephenson-taylor
Gender	Female
Speciality	Counselor - Mental Health
Location	1430 16th Ave, Longview, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255833885
Provider Enumeration Date: 02/28/2018
Last Update Date: 01/08/2020

Medicare PECOS Information:

PECOS PAC ID: 5890145833
Enrollment ID: I20240103001224

Medical Identifiers

Medical identifiers for Kessa Mystique Stephenson-taylor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255833885	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	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. Kessa Mystique Stephenson-taylor allows following entities to bill medicare on her behalf.

Entity Name	Pathways Mental Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306004775 PECOS PAC ID: 5496053803 Enrollment ID: O20160419001734

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. Kessa Mystique Stephenson-taylor 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
Kessa Mystique Stephenson-taylor, AA, BA 245 Calvin Rd, Cinebar, WA 98533-9700 Ph: (360) 520-6529	Kessa Mystique Stephenson-taylor, AA, BA 1430 16th Ave, Longview, WA 98632-2901 Ph: (360) 799-4556

Reviews and Comments

Counselor in Longview, WA

Mohammed Yunus, Counselor Medicare: Not Enrolled in Medicare Practice Location: 921 14th Ave, Longview, WA 98632 Phone: 360-423-0203 Fax: 360-577-0269
Danielle L Jenkins Thompson, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 921 14th Ave, Longview, WA 98632 Phone: 360-423-0203
Marena Berishev, Counselor Medicare: Not Enrolled in Medicare Practice Location: 748 14th Ave, Longview, WA 98632 Phone: 360-200-5419
Mrs. Michelle Chapman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 720 14th Ave, Longview, WA 98632 Phone: 360-423-0203 Fax: 360-577-0269
Melissa Jarvis, Counselor Medicare: Medicare Enrolled Practice Location: 720 14th Ave, Longview, WA 98632 Phone: 360-423-0203 Fax: 360-577-0187
Rachel A Gaines, SUDPT Counselor Medicare: Not Enrolled in Medicare Practice Location: 748 14th Ave, Longview, WA 98632 Phone: 360-200-5419 Fax: 360-200-6736
Charlotte Anne Rosen, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1157 3rd Ave, Suite 100, Longview, WA 98632 Phone: 360-636-5653

Kessa Mystique Stephenson-taylor, AA, BA - Medicare Counselor in Longview, WA