Jennifer Anne Clark, LCPC in Richland, WA - Medicare Counselor Provider

Jennifer Anne Clark, LCPC is a medicare enrolled "Counselor - Professional" provider in Richland, Washington. Her current practice location is 183 Wildwood Ct, Richland, Washington. You can reach out to her office (for appointments etc.) via phone at (509) 779-8604.

Jennifer Anne Clark is licensed to practice in Illinois (license number 180.016757) 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 1245953199.

Contact Information

	Jennifer Anne Clark, LCPC
	183 Wildwood Ct, Richland, WA 99352-9499
	(509) 779-8604
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jennifer Anne Clark
Gender	Female
Speciality	Counselor - Professional
Location	183 Wildwood Ct, Richland, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245953199
Provider Enumeration Date: 09/26/2022
Last Update Date: 05/14/2026

Medicare PECOS Information:

PECOS PAC ID: 1850800855
Enrollment ID: I20250602001782

Medical Identifiers

Medical identifiers for Jennifer Anne Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245953199	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	MHC.LH.61691556 (Washington)	Secondary
101YP2500X	Counselor - Professional	180.016757 (Illinois)	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. Jennifer Anne Clark allows following entities to bill medicare on her behalf.

Entity Name	Edgewood Clinical Services P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295914646 PECOS PAC ID: 3971963901 Enrollment ID: O20230721001228

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. Jennifer Anne Clark 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
Jennifer Anne Clark, LCPC 183 Wildwood Ct, Richland, WA 99352-9499 Ph: (509) 779-8604	Jennifer Anne Clark, LCPC 183 Wildwood Ct, Richland, WA 99352-9499 Ph: (509) 779-8604

Reviews and Comments

Counselor in Richland, WA

Keri Hendrix, LMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 639 Cullum Ave. Ste 854, Richland, WA 99352 Phone: 509-205-5559 Fax: 509-292-4155
Karlene Kay Crume, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1175 Carondelet Dr, Richland, WA 99354 Phone: 509-943-9104 Fax: 509-943-7205
Mr. Ken D Davis, CDPT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1305 Mansfield St, Suite 5, Richland, WA 99352 Phone: 509-942-1624
Annabella Marie Lopez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2312 Boise St, Richland, WA 99352 Phone: 509-581-9356
Mr. Richard Ward Cantrell, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1175 Carondelet Dr, Richland, WA 99354 Phone: 509-943-9104 Fax: 509-946-7206
Patricia Dawn Brewster, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1175 Carondelet Dr, Richland, WA 99354 Phone: 509-943-9104
Tiffany A Moss, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 415 Jadwin Ave, Richland, WA 99352 Phone: 509-967-6281

Jennifer Anne Clark, LCPC - Medicare Counselor in Richland, WA