Jackie Tuohy, MA, LPCC is a medicare enrolled "Counselor - Mental Health" provider in Severance, Colorado. Her current practice location is
1438 Moraine Valley Dr, Severance, Colorado. You can reach out to her office (for appointments etc.) via phone at
(970) 414-0012.
Jackie Tuohy is licensed to practice in Colorado (license number LPCC.0019923) 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 1164159570.
Healthcare Provider's Profile
Full Name | Jackie Tuohy |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 1438 Moraine Valley Dr, Severance, Colorado |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1164159570
- Provider Enumeration Date: 08/05/2022
- Last Update Date: 08/05/2022
Medicare PECOS Information:
- PECOS PAC ID: 2860920196
- Enrollment ID: I20250114001407
Medical Identifiers
Medical identifiers for Jackie Tuohy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164159570 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | LPCC.0019923 (Colorado) | 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. Jackie Tuohy allows following entities to bill medicare on her behalf.
Entity Name | Strong Hope Counseling Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1003488099 PECOS PAC ID: 1052847951 Enrollment ID: O20241213003706 |
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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. Jackie Tuohy 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 |
Jackie Tuohy, MA, LPCC 852 Kaitlyn Cir, Loveland, CO 80537-8086 Ph: (917) 825-3298 | Jackie Tuohy, MA, LPCC 1438 Moraine Valley Dr, Severance, CO 80550-3281 Ph: (970) 414-0012 |
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