<unavail> in Stockton, CA - Medicare Counselor

is a medicare enrolled mental health clinic (Counselor - Mental Health) in Stockton, California. The current practice location for is 401 E Main St, Stockton, California. For appointments, you can reach them via phone at (209) 649-9241. The mailing address for is 401 E Main St, Stockton, California and phone number is (209) 870-0471.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1669096426. 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 (209) 649-9241.

Contact Information


	401 E Main St Stockton CA 95202-3032
	(209) 649-9241
	Not Available

Map and Direction

Mental Health Clinic Profile

Full Name
Speciality	Counselor
Location	401 E Main St, Stockton, California
Authorized Official Name and Position	Joshua Brown (CEO/OWNER)
Authorized Official Contact	2096499241
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
401 E Main St Stockton CA 95202-3032 Ph: (209) 870-0471	401 E Main St Stockton CA 95202-3032 Ph: (209) 649-9241

NPI Details:

NPI Number	1669096426
Provider Enumeration Date	06/07/2020
Last Update Date	01/22/2021
Certification Date	01/22/2021

Medicare PECOS Information:

Medicare PECOS PAC ID	4688089378
Medicare Enrollment ID	O20241025003006

Medical Identifiers

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

Identifier	Type	State	Issuer
1669096426	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	(* (Not Available))	Secondary
101YM0800X	Counselor - Mental Health	(* (Not Available))	Primary
101YP2500X	Counselor - Professional	(* (Not Available))	Secondary
101YS0200X	Counselor - School	(* (Not Available))	Secondary
103K00000X	Behavior Analyst	(* (Not Available))	Secondary
106H00000X	Marriage & Family Therapist	(* (Not Available))	Secondary
106S00000X	Behavior Technician	(* (Not Available))	Secondary

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	Joshua Brown
Provider Type	Practitioner - Mental Health Counselor
Provider Identifiers	NPI Number: 1669062790 PECOS PAC ID: 2365858917 Enrollment ID: I20241025003226

Reviews and Comments

Counselor in Stockton, CA

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- Medicare Mental Health Clinic in Stockton, CA