Mr Jay Owen Wainscott, LPCC, LICDC-CS | |
6239 Wilmington Pike, Centerville, OH 45459-7108 | |
(937) 319-4448 | |
(937) 630-4391 |
Full Name | Mr Jay Owen Wainscott |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 6239 Wilmington Pike, Centerville, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548754146 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | LICDC.111040 (Ohio) | Secondary |
101YM0800X | Counselor - Mental Health | E.1700023-SUPV (Ohio) | Primary |
Entity Name | Darcie R Clark Lpcc Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669842258 PECOS PAC ID: 3779958947 Enrollment ID: O20230331002603 |
Mailing Address | Practice Location Address |
---|---|
Mr Jay Owen Wainscott, LPCC, LICDC-CS 6020 Cobbleskill Ct, Centerville, OH 45459-2136 Ph: (937) 689-6528 | Mr Jay Owen Wainscott, LPCC, LICDC-CS 6239 Wilmington Pike, Centerville, OH 45459-7108 Ph: (937) 319-4448 |
Ms. Kathy Sowder, LPCC, CCDC, III E Counselor Medicare: Not Enrolled in Medicare Practice Location: 7086 Corporate Way, Centerville, OH 45459 Phone: 937-435-5200 Fax: 937-435-5200 | |
Tiffanie Ann Pinnix, BA LCDC III Counselor Medicare: Not Enrolled in Medicare Practice Location: 950 E Alex Bell Rd # 100, Centerville, OH 45459 Phone: 937-291-2300 | |
Jill Alane Poppe Mackenzie, JD, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 955 Congress Park Dr, Centerville, OH 45459 Phone: 937-269-3047 | |
Ms. Lora N Firman, PSY. D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 90 Rhoads Center Dr, Centerville, OH 45458 Phone: 937-291-3342 | |
Corrine L White, MFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 761 Miamisburg Centerville Rd, Centerville, OH 45459 Phone: 937-319-4448 | |
Meghan Alexis Cargill, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6601 Centerville Business Pkwy Ste 310, Centerville, OH 45459 Phone: 937-637-6735 | |
Mr. Blake Workman, MS LPCC, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7026 Corporate Way, Ste 116, Centerville, OH 45459 Phone: 937-554-9569 |