Ms Jessica Charise Canteen, MED, MHC, LPC, CEP in Mableton, GA

Ms Jessica Charise Canteen, MED, MHC, LPC, CEP is a medicare enrolled "Counselor - Professional" provider in Mableton, Georgia. Her current practice location is 5284 Floyd Rd Sw Unit 767, Mableton, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 460-6334.

Ms Jessica Charise Canteen is licensed to practice in Georgia (license number LPC012698) 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 1669056131.

Contact Information

	Ms Jessica Charise Canteen, MED, MHC, LPC, CEP
	5284 Floyd Rd Sw Unit 767, Mableton, GA 30126-6107
	(678) 460-6334
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Jessica Charise Canteen
Gender	Female
Speciality	Counselor - Professional
Location	5284 Floyd Rd Sw Unit 767, Mableton, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669056131
Provider Enumeration Date: 05/10/2021
Last Update Date: 01/18/2025

Medicare PECOS Information:

PECOS PAC ID: 2365976032
Enrollment ID: I20241118001811

Medical Identifiers

Medical identifiers for Ms Jessica Charise Canteen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669056131	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	37PC00880500 (New Jersey)	Secondary
101YP2500X	Counselor - Professional	LH61356267 (Washington)	Secondary
101YP2500X	Counselor - Professional	PC014914 (Pennsylvania)	Secondary
101YP2500X	Counselor - Professional	LPC012698 (Georgia)	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. Ms Jessica Charise Canteen allows following entities to bill medicare on her behalf.

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: O20221129001217

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. Ms Jessica Charise Canteen 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
Ms Jessica Charise Canteen, MED, MHC, LPC, CEP 5284 Floyd Rd Sw Unit 767, Mableton, GA 30126-6107 Ph: (678) 460-6334	Ms Jessica Charise Canteen, MED, MHC, LPC, CEP 5284 Floyd Rd Sw Unit 767, Mableton, GA 30126-6107 Ph: (678) 460-6334

Reviews and Comments

Counselor in Mableton, GA

Tameka Lelar Bell, LAPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 30 Cooper Lake Rd Sw Apt C4, Mableton, GA 30126 Phone: 678-392-8852
Roseline Ngonde Ngoeh, CMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 54 Nellie Brook Dr Sw, Mableton, GA 30126 Phone: 404-984-0915
Mrs. Lauren Skelton Baird, LPC Counselor Medicare: Medicare Enrolled Practice Location: 141 Cooper Lake Rd Se, Mableton, GA 30126 Phone: 404-519-6561
Shronna Latimore, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6885 Slate Stone Way Se, Mableton, GA 30126 Phone: 404-539-6277
Ms. Keyontia Markeya White, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1025 Veterans Memorial Hwy Se Ste 660, Mableton, GA 30126 Phone: 404-980-9330 Fax: 470-704-4413
Angela Mckinney Grant, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5701 Mableton Pkwy Sw Ste 309, Mableton, GA 30126 Phone: 470-495-3247
Takirah Lashawn Gayle, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1025 Veterans Memorial Hwy Sw, Suite 660, Mableton, GA 30126 Phone: 404-919-0409 Fax: 678-623-8220

Ms Jessica Charise Canteen, MED, MHC, LPC, CEP - Medicare Counselor in Mableton, GA