| Jenni Earp, | |
|
197 Ash Ave, Mantua, NJ 08051-1507 | |
| (479) 276-6487 | |
| (501) 653-2257 |
| Full Name | Jenni Earp |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 197 Ash Ave, Mantua, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952552200 | NPI | - | NPPES |
| 1952552200 | Medicaid | AR | |
| 228057719 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | A0810066 (Arkansas) | Secondary |
| 101YM0800X | Counselor - Mental Health | P1112093 (Arkansas) | Primary |
| Entity Name | Friendship Community Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528144318 PECOS PAC ID: 9335463496 Enrollment ID: O20150120000780 |
| Mailing Address | Practice Location Address |
|---|---|
| Jenni Earp, 197 Ash Ave, Mantua, NJ 08051-1507 Ph: (479) 267-6487 | Jenni Earp, 197 Ash Ave, Mantua, NJ 08051-1507 Ph: (479) 276-6487 |
David Berg, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 113 Pendragon Way, Mantua, NJ 08051 Phone: 856-332-3003 | |
Timothy Mckenna, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 325 Heather Dr N, Mantua, NJ 08051 Phone: 609-790-4919 | |
Stacey Rettew, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11 Birchwood Ln, Mantua, NJ 08051 Phone: 856-812-5967 | |
Tanya Curran, LCADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1223 Tristram Cir, Mantua, NJ 08051 Phone: 609-230-3223 | |
Mr. Behrad Emami, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1107 Mantua Pike Ste 720, #102, Mantua, NJ 08051 Phone: 000-000-0000 | |
Mr. Wade Garrett Greenwald, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1107 Mantua Pike Ste 720, Box 102, Mantua, NJ 08051 Phone: 215-435-8392 |