<unavail> in Baltimore, MD - Medicare Counselor

is a medicare enrolled mental health clinic (Counselor - Professional) in Baltimore, Maryland. The current practice location for is 718 Elmwood Rd, Baltimore, Maryland. For appointments, you can reach them via phone at (240) 676-2007. The mailing address for is 718 Elmwood Rd, Baltimore, Maryland and phone number is (240) 676-2007.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1093589756. 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 (240) 676-2007.

Contact Information


	718 Elmwood Rd Baltimore MD 21206-2119
	(240) 676-2007
	(667) 260-6455

Map and Direction

Mental Health Clinic Profile

Full Name
Speciality	Counselor
Location	718 Elmwood Rd, Baltimore, Maryland
Authorized Official Name and Position	Jennifer Candacy Chichester-vinston (LICENSE CLINCIAL PROFESSIONAL COUNS)
Authorized Official Contact	2406762007
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
718 Elmwood Rd Baltimore MD 21206-2119 Ph: (240) 676-2007	718 Elmwood Rd Baltimore MD 21206-2119 Ph: (240) 676-2007

NPI Details:

NPI Number	1093589756
Provider Enumeration Date	11/13/2023
Last Update Date	07/26/2024
Certification Date	07/22/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	3678019833
Medicare Enrollment ID	O20240724000562

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093589756	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	(* (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 Name	Jennifer Candacy Chichester-vinston
Provider Type	Practitioner - Mental Health Counselor
Provider Identifiers	NPI Number: 1750036364 PECOS PAC ID: 5496291650 Enrollment ID: I20240726000181

Reviews and Comments

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- Medicare Mental Health Clinic in Baltimore, MD