| Jennifer Draper, LPC | |
|
222 Marion Ave, Mansfield, OH 44903-2138 | |
| (567) 560-3582 | |
| Not Available |
| Full Name | Jennifer Draper |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 222 Marion Ave, Mansfield, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174179659 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | C.1901861-TRNE (Ohio) | Secondary |
| 101YM0800X | Counselor - Mental Health | C.2002881 (Ohio) | Primary |
| Entity Name | Family Life Counseling & Psychiatric Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598862641 PECOS PAC ID: 0749353464 Enrollment ID: O20080714000402 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Draper, LPC 1620 Friday Ln, Ontario, OH 44906-2302 Ph: (419) 989-7437 | Jennifer Draper, LPC 222 Marion Ave, Mansfield, OH 44903-2138 Ph: (567) 560-3582 |
Elizabeth A Dean, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 680 Park Ave W, Mansfield, OH 44906 Phone: 419-528-5993 Fax: 568-560-5483 | |
Gary Lee Russell, LPCC-S, LICDC Counselor Medicare: Medicare Enrolled Practice Location: 151 Marion Ave, Mansfield, OH 44903 Phone: 419-774-9969 | |
Debora Van Romer, LPC Counselor Medicare: Medicare Enrolled Practice Location: 151 Marion Ave, Mansfield, OH 44903 Phone: 419-774-9969 Fax: 419-756-5642 | |
Wesley Kyser, LISW-S, LICDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2 Smith Ave, Mansfield, OH 44905 Phone: 419-982-2400 | |
Aloys Kamwithi, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 270 Sterkel Blvd, Mansfield, OH 44907 Phone: 419-756-1133 Fax: 419-756-7456 | |
Jessica L Luttrell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 780 Park Ave W, Mansfield, OH 44906 Phone: 419-709-8103 | |
Miranda S. Shelton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 580 Park Ave W, Mansfield, OH 44906 Phone: 833-510-4357 Fax: 866-460-2997 |