Mrs Kathleen Jane Fetter, MS, LPC in Mooresville, NC

Mrs Kathleen Jane Fetter, MS, LPC is a medicare enrolled "Counselor - Professional" provider in Mooresville, North Carolina. Her current practice location is 134 Professional Park Dr, Suite 400, Mooresville, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 664-1029.

Mrs Kathleen Jane Fetter is licensed to practice in North Carolina (license number 8643) 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 1710005251.

Contact Information

	Mrs Kathleen Jane Fetter, MS, LPC
	134 Professional Park Dr, Suite 400, Mooresville, NC 28117-5599
	(704) 664-1029
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Kathleen Jane Fetter
Gender	Female
Speciality	Counselor - Professional
Location	134 Professional Park Dr, Mooresville, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710005251
Provider Enumeration Date: 03/26/2007
Last Update Date: 10/27/2011

Medicare PECOS Information:

PECOS PAC ID: 2668818899
Enrollment ID: I20240311002710

Medical Identifiers

Medical identifiers for Mrs Kathleen Jane Fetter such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710005251	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	8643 (North Carolina)	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. Mrs Kathleen Jane Fetter allows following entities to bill medicare on her behalf.

Entity Name	Miracles Healing Centers Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962597732 PECOS PAC ID: 8729273594 Enrollment ID: O20101108000319

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. Mrs Kathleen Jane Fetter 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
Mrs Kathleen Jane Fetter, MS, LPC 127 W Maranta Rd, Mooresville, NC 28117-6337 Ph: (201) 925-2367	Mrs Kathleen Jane Fetter, MS, LPC 134 Professional Park Dr, Suite 400, Mooresville, NC 28117-5599 Ph: (704) 664-1029

Reviews and Comments

Counselor in Mooresville, NC

Jessica Rose Wing, MA, LCMHCA, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 311 Williamson Rd Ste 103, Mooresville, NC 28117 Phone: 704-360-3049
Erin Poore, LPCA, LCASA Counselor Medicare: Not Enrolled in Medicare Practice Location: 117 Hampshire Dr, Mooresville, NC 28115 Phone: 704-658-8558
Ms. Ava Vaughan, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 108 Amelia Ln, Mooresville, NC 28117 Phone: 276-708-6287
Catherine Diane Naylor, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 542 Williamson Rd, Suite 6, Mooresville, NC 28117 Phone: 704-660-6854
Tetiana Malkova, Counselor Medicare: Not Enrolled in Medicare Practice Location: 311 Williamson Rd Ste 103, Mooresville, NC 28117 Phone: 704-360-3049
Asheli M Thompson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 122 Gateway Blvd Ste C, Mooresville, NC 28117 Phone: 704-360-3637
Mrs. Deanna Cuccinello, MA, LPCA, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 Rolling Hill Rd Ste 235, Mooresville, NC 28117 Phone: 828-548-0313

Mrs Kathleen Jane Fetter, MS, LPC - Medicare Counselor in Mooresville, NC