| Shantel Jackson, LPC | |
|
1033 High St, Worthington, OH 43085-4026 | |
| (614) 885-5020 | |
| Not Available |
| Full Name | Shantel Jackson |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 1033 High St, Worthington, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952751729 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | E.1800766 (Ohio) | Primary |
| 101YM0800X | Counselor - Mental Health | C.1000173 (Ohio) | Secondary |
| Entity Name | Psychological & Behavioral Consultants Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811915713 PECOS PAC ID: 0446243760 Enrollment ID: O20040405000363 |
| Mailing Address | Practice Location Address |
|---|---|
| Shantel Jackson, LPC 2027 Heathcliff Dr, Columbus, OH 43209-3435 Ph: (330) 559-9342 | Shantel Jackson, LPC 1033 High St, Worthington, OH 43085-4026 Ph: (614) 885-5020 |
Richard Mague, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 75 E Wilson Bridge Rd, Ste 4c, Worthington, OH 43085 Phone: 614-946-3486 Fax: 614-841-9166 | |
Shelby Rudloff, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 445 E Dublin Granville Rd Ste G, Worthington, OH 43085 Phone: 614-844-3800 | |
Ashley M Brunton, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6797 N High St Ste 223, Worthington, OH 43085 Phone: 614-571-3250 | |
Traci Rose Cahill, PCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5701 N High St Ste 308, Worthington, OH 43085 Phone: 614-406-0299 Fax: 866-594-7023 | |
Avalon Espinoza, MSW, LISW-S Counselor Medicare: Medicare Enrolled Practice Location: 500 W Wilson Bridge Rd Ste 75, Worthington, OH 43085 Phone: 614-395-9767 | |
Mr. Trevor C. Davis, LSW, LCDC-III Counselor Medicare: Not Enrolled in Medicare Practice Location: 6797 N High St Ste 350, Worthington, OH 43085 Phone: 877-828-3889 Fax: 614-888-3239 | |
Mrs. Sarah Hatch, MA, LPCC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 6797 N High St Ste 244, Worthington, OH 43085 Phone: 614-824-9590 |