Jacqueline Davis, Licensed Professional Clinical Counselor, Inc. is a medicare enrolled mental health clinic (Counselor - Mental Health) in Palomar Mountain, California. The current practice location for Jacqueline Davis, Licensed Professional Clinical Counselor, Inc. is 32759 1/8 Birch Hill Road, Palomar Mountain, California. For appointments, you can reach them via phone at (760) 651-2881. The mailing address for Jacqueline Davis, Licensed Professional Clinical Counselor, Inc. is Po Box 115, Palomar Mountain, California and phone number is () -.
Jacqueline Davis, Licensed Professional Clinical Counselor, Inc. is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1396506176. 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 (760) 651-2881.
Contact Information
Jacqueline Davis, Licensed Professional Clinical Counselor, Inc.
32759 1/8 Birch Hill Road Palomar Mountain CA 92060
Jacqueline Davis, Licensed Professional Clinical Counselor, Inc.
Speciality
Counselor
Location
32759 1/8 Birch Hill Road, Palomar Mountain, California
Authorized Official Name and Position
Jacqueline Davis (COUNSELOR/OWNER)
Authorized Official Contact
7606512881
Accepts Medicare Insurance
Yes. This clinic participates in medicare program and accept medicare insurance.
Mailing Address and Practice Location
Mailing Address
Practice Location Address
Jacqueline Davis, Licensed Professional Clinical Counselor, Inc. Po Box 115 Palomar Mountain CA 92060-0115 Ph: () -
Jacqueline Davis, Licensed Professional Clinical Counselor, Inc. 32759 1/8 Birch Hill Road Palomar Mountain CA 92060 Ph: (760) 651-2881
NPI Details:
NPI Number
1396506176
Provider Enumeration Date
01/19/2024
Last Update Date
01/19/2024
Certification Date
01/16/2024
Medicare PECOS Information:
Medicare PECOS PAC ID
0345685343
Medicare Enrollment ID
O20240229002473
Medical Identifiers
Medical identifiers for Jacqueline Davis, Licensed Professional Clinical Counselor, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier
Type
State
Issuer
1396506176
NPI
-
NPPES
Medical Taxonomies and Licenses
Taxonomy
Type
License (State)
Status
101YA0400X
Counselor - Addiction (substance Use Disorder)
(* (Not Available))
Secondary
101YM0800X
Counselor - 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. Jacqueline Davis, Licensed Professional Clinical Counselor, Inc. acts as a billing entity for following providers: