| Jennifer Bridge, LPC | |
|
1100 Shawnee Rd, Lima, OH 45805-3529 | |
| (419) 999-2010 | |
| (419) 999-6284 |
| Full Name | Jennifer Bridge |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 3 Years |
| Location | 1100 Shawnee Rd, Lima, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831766849 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | C.2305438 (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Encompass Care, Inc. | 2062752595 | 7 |
| Entity Name | Encompass Care, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912412768 PECOS PAC ID: 2062752595 Enrollment ID: O20190320001960 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Bridge, LPC 1100 Shawnee Rd, Lima, OH 45805-3529 Ph: (419) 999-2010 | Jennifer Bridge, LPC 1100 Shawnee Rd, Lima, OH 45805-3529 Ph: (419) 999-2010 |
Ivan L Ballard, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 311 E Market St, Lima, OH 45801 Phone: 419-222-4474 |
Elisa K Bradley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2963 Blue Jacket Ct, Lima, OH 45806 Phone: 567-825-1192 |
Mr. Kevin Edward Bowden, LCDC 3 Counselor Medicare: Not Enrolled in Medicare Practice Location: 799 S Main St, Lima, OH 45804 Phone: 567-242-6072 |
William Keith I, LCDC III Counselor Medicare: Not Enrolled in Medicare Practice Location: 799 S Main St, Lima, OH 45804 Phone: 419-229-2222 |
Amy S Brewster, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1505 N Cole St, Lima, OH 45801 Phone: 513-834-7063 |
Philip B Langsdon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1505 N Cole St, Lima, OH 45801 Phone: 833-510-4357 Fax: 866-460-2997 |
Cheyenne Stahr, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2963 Blue Jacket Ct, Lima, OH 45806 Phone: 419-581-9138 |