Ms Jessica Jane Sullivan, LPCMH in Seaford, DE

Ms Jessica Jane Sullivan, LPCMH is a medicare enrolled "Counselor - Mental Health" provider in Seaford, Delaware. Her current practice location is 413 High St, Seaford, Delaware. You can reach out to her office (for appointments etc.) via phone at (443) 720-5552.

Ms Jessica Jane Sullivan is licensed to practice in Delaware (license number PC-0011180) 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 1639829955.

Contact Information

	Ms Jessica Jane Sullivan, LPCMH
	413 High St, Seaford, DE 19973-3923
	(443) 720-5552
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Jessica Jane Sullivan
Gender	Female
Speciality	Counselor - Mental Health
Location	413 High St, Seaford, Delaware
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639829955
Provider Enumeration Date: 03/28/2022
Last Update Date: 04/15/2022

Medicare PECOS Information:

PECOS PAC ID: 5395194575
Enrollment ID: I20240229000784

Medical Identifiers

Medical identifiers for Ms Jessica Jane Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639829955	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	PC-0011180 (Delaware)	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 Jane Sullivan allows following entities to bill medicare on her behalf.

Entity Name	State Of Mind Counseling Services, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275260952 PECOS PAC ID: 6901277706 Enrollment ID: O20230113000086

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 Jane Sullivan 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 Jane Sullivan, LPCMH 1310 Bridgeville Hwy, Seaford, DE 19973-1617 Ph: (302) 349-6051	Ms Jessica Jane Sullivan, LPCMH 413 High St, Seaford, DE 19973-3923 Ph: (443) 720-5552

Reviews and Comments

Counselor in Seaford, DE

Rhonda Bailey, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 22167 Coverdale Rd, Seaford, DE 19973 Phone: 302-265-3004
Ms. Geneva Yvonne Barnes, LPCMH, NCC Counselor Medicare: Medicare Enrolled Practice Location: 1330 Middleford Rd Ste Seaford, Seaford, DE 19973 Phone: 302-990-2414
Lisa Thomas, LPCMH Counselor Medicare: Medicare Enrolled Practice Location: 900 Health Services Dr, Seaford, DE 19973 Phone: 302-262-3505 Fax: 302-262-3507
Cynthia Parks, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1309 Bridgeville Hwy, Seaford, DE 19973 Phone: 302-629-2300 Fax: 302-629-2305
Laura K Harper, LPCMH Counselor Medicare: Not Enrolled in Medicare Practice Location: 900 Health Services Dr, Seaford, DE 19973 Phone: 302-262-3505 Fax: 302-262-3507
Amy Rust, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1309 Bridgeville Hwy, Seaford, DE 19973 Phone: 302-629-2300
Mrs. Anmol Nadeem Hundel, Counselor Medicare: Not Enrolled in Medicare Practice Location: 413 High St, Seaford, DE 19973 Phone: 443-825-0104

Ms Jessica Jane Sullivan, LPCMH - Medicare Counselor in Seaford, DE