- Medicare Mental Health Clinic in Alexandria, LA

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is a medicare enrolled mental health clinic (Clinic/center - Adolescent And Children Mental Health) in Alexandria, Louisiana. The current practice location for is 5501 Jackson St, Alexandria, Louisiana. For appointments, you can reach them via phone at (318) 266-7021. The mailing address for is 5501 Jackson St, Alexandria, Louisiana and phone number is (318) 266-7021.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1326689852. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (318) 266-7021.

Contact Information

5501 Jackson St
Alexandria
LA 71303-2324
(318) 266-7021
Not Available

Map and Direction


Mental Health Clinic Profile

Full Name
SpecialityClinic/Center
Location5501 Jackson St, Alexandria, Louisiana
Authorized Official Name and PositionChristy Pennison (OWNER)
Authorized Official Contact3187152603
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

5501 Jackson St
Alexandria
LA 71303-2324

Ph: (318) 266-7021
5501 Jackson St
Alexandria
LA 71303-2324

Ph: (318) 266-7021

NPI Details:

NPI Number1326689852
Provider Enumeration Date10/06/2019
Last Update Date03/19/2021
Certification Date03/19/2021

Medicare PECOS Information:

Medicare PECOS PAC ID8426497306
Medicare Enrollment IDO20240412000227

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326689852NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM0850XClinic/center - Adult Mental Health (* (Not Available))Secondary
261QM0855XClinic/center - Adolescent And Children Mental Health (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
Provider NameSkylar Anthony
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1306203294
PECOS PAC ID: 6901200872
Enrollment ID: I20210814000389
Provider NameKarlee Anne Beville
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1215404785
PECOS PAC ID: 3375919780
Enrollment ID: I20221026000368
Provider NameJennifer Lauren Riche
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1437525805
PECOS PAC ID: 2062861032
Enrollment ID: I20231215002282
Provider NameLisa M Jackson
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1184076630
PECOS PAC ID: 8921456906
Enrollment ID: I20240116001088
Provider NameStephanie L Bradley
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1255882221
PECOS PAC ID: 5496103194
Enrollment ID: I20240122003259
Provider NameChristy Lynn Pennison
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1346616380
PECOS PAC ID: 1153760038
Enrollment ID: I20240412000291
Provider NameElizabeth Diann Beebe
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1518324862
PECOS PAC ID: 5698114023
Enrollment ID: I20240418002230
Provider NameJames Dalton Harrison
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1093365934
PECOS PAC ID: 8628418142
Enrollment ID: I20240501002693
Provider NameMelissa D Mckinney
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1053966291
PECOS PAC ID: 5092156042
Enrollment ID: I20240508003561
Provider NameTiffany B Jones
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1104388586
PECOS PAC ID: 8123469186
Enrollment ID: I20240508003791
Provider NameCynthia Gayle Madison
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1255448718
PECOS PAC ID: 0547601270
Enrollment ID: I20240513003294
Provider NameElizabeth Jean Trichel Babcock
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1073843173
PECOS PAC ID: 9638510100
Enrollment ID: I20240515001024
Provider NameMelissa Due Daniel
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1568003697
PECOS PAC ID: 9133561715
Enrollment ID: I20240528003800
Provider NameNatoshia A Wellman
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1780222521
PECOS PAC ID: 0143767947
Enrollment ID: I20240729004367
Provider NameKelsey Ann Anderson
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1841855400
PECOS PAC ID: 3577002609
Enrollment ID: I20240903002560

Reviews and Comments

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Phone: 318-484-6850    Fax: 318-484-6844
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Practice Location: 5920 Coliseum Blvd, Alexandria, LA 71303
Phone: 318-332-5090    Fax: 318-443-9116

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Medicare: Not Enrolled in Medicare
Practice Location: 3330 Masonic Dr, Suite 105, Alexandria, LA 71301
Phone: 318-449-2480    Fax: 318-448-6555

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.