Carolyn Jean Clontz, MS,LMFT in North Richland Hills, TX - Medicare Marriage & Family Therapist Provider

Carolyn Jean Clontz, MS,LMFT is a medicare enrolled "Marriage & Family Therapist" provider in North Richland Hills, Texas. Her current practice location is 8408 Davis Blvd Ste 240, North Richland Hills, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 765-5664.

Carolyn Jean Clontz is licensed to practice in Texas (license number 203099) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1215428974.

Contact Information

	Carolyn Jean Clontz, MS,LMFT
	8408 Davis Blvd Ste 240, North Richland Hills, TX 76182-8610
	(817) 765-5664
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Carolyn Jean Clontz
Gender	Female
Speciality	Marriage & Family Therapist
Location	8408 Davis Blvd Ste 240, North Richland Hills, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215428974
Provider Enumeration Date: 05/29/2018
Last Update Date: 10/03/2024

Medicare PECOS Information:

PECOS PAC ID: 5597289009
Enrollment ID: I20250407001180

Medical Identifiers

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

Identifier	Type	State	Issuer
1215428974	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	15348 (Texas)	Secondary
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
106H00000X	Marriage & Family Therapist	203099 (Texas)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Carolyn Jean Clontz allows following entities to bill medicare on her behalf.

Entity Name	Emh Mid-cities Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477277192 PECOS PAC ID: 3072058387 Enrollment ID: O20240711000497

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Carolyn Jean Clontz is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Carolyn Jean Clontz, MS,LMFT 1075 Admiral Dr, Azle, TX 76020-2958 Ph: (817) 403-8215	Carolyn Jean Clontz, MS,LMFT 8408 Davis Blvd Ste 240, North Richland Hills, TX 76182-8610 Ph: (817) 765-5664

Reviews and Comments

Marriage & Family Therapist in North Richland Hills, TX

Brittany J'nae Johnson, LMFT-ASSOCIATE Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 8500 Harwood Rd Apt 6012, North Richland Hills, TX 76180 Phone: 817-298-0293
Lauren Corinne Crowley Taylor, LPC, LMFT ASSOCIATE Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 8813 N Tarrant Pkwy Ste 307, North Richland Hills, TX 76182 Phone: 682-214-0566
Abby Leigh Bedford, LMFT ASSOCIATE Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 7104 Douglas Ln, North Richland Hills, TX 76182 Phone: 817-454-1189
Colby Ray Perez, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 6051 Davis Blvd # 821277, North Richland Hills, TX 76180 Phone: 817-851-2042
Paulina Lopez Miller, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 6716 Riviera Dr, North Richland Hills, TX 76180 Phone: 646-853-3505
Dr. Gary L Kesling, PH.D. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 8637 Stonecrest Trail, North Richland Hills, TX 76182 Phone: 409-770-3564
Karen Lewis, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 8813 N Tarrant Pkwy Ste 143, North Richland Hills, TX 76182 Phone: 682-235-7208

Carolyn Jean Clontz, MS,LMFT - Medicare Couples Therapy in North Richland Hills, TX