Fulfilled Life Counseling, Llc - Medicare Mental Health Clinic in Jonesboro, AR

Fulfilled Life Counseling, Llc is a medicare enrolled mental health clinic (Counselor - Professional) in Jonesboro, Arkansas. The current practice location for Fulfilled Life Counseling, Llc is 1218 Stone St Ste 204, Jonesboro, Arkansas. For appointments, you can reach them via phone at (901) 501-6091. The mailing address for Fulfilled Life Counseling, Llc is 4609 Summit Ridge Dr, Jonesboro, Arkansas and phone number is (870) 718-6199.

Fulfilled Life Counseling, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1932762754. 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 (901) 501-6091.

Contact Information

Fulfilled Life Counseling, Llc
1218 Stone St Ste 204
Jonesboro
AR 72401-4568
(901) 501-6091
(870) 466-4982

Map and Direction


Mental Health Clinic Profile

Full NameFulfilled Life Counseling, Llc
SpecialityCounselor
Location1218 Stone St Ste 204, Jonesboro, Arkansas
Authorized Official Name and PositionLeonardo Patrick Glover (CEO)
Authorized Official Contact8707186199
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Fulfilled Life Counseling, Llc
4609 Summit Ridge Dr
Jonesboro
AR 72404-9101

Ph: (870) 718-6199
Fulfilled Life Counseling, Llc
1218 Stone St Ste 204
Jonesboro
AR 72401-4568

Ph: (901) 501-6091

NPI Details:

NPI Number1932762754
Provider Enumeration Date04/17/2019
Last Update Date04/17/2019

Medicare PECOS Information:

Medicare PECOS PAC ID5496197246
Medicare Enrollment IDO20240523004023

Medical Identifiers

Medical identifiers for Fulfilled Life Counseling, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1932762754NPI-NPPES
1093088031OtherARQUALCHOICE
1093088031OtherARBCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YP2500XCounselor - Professional (* (Not Available))Primary
261QM0855XClinic/center - Adolescent And Children Mental Health (* (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. Fulfilled Life Counseling, Llc acts as a billing entity for following providers:
Provider NameTamara Glover
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1801191382
PECOS PAC ID: 3870030380
Enrollment ID: I20240801003412

Reviews and Comments

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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.