| Jennifer Hess Blake, LPC | |
|
1114 E Main St, Lebanon, VA 24266-5014 | |
| (276) 701-0030 | |
| Not Available |
| Full Name | Jennifer Hess Blake |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 1114 E Main St, Lebanon, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801574074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| 101YM0800X | Counselor - Mental Health | 0701012644 (Virginia) | Secondary |
| Entity Name | Supportive Care Of Virginia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801485354 PECOS PAC ID: 2961816731 Enrollment ID: O20210208000520 |
| Entity Name | Southwest Regional Counseling Service Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063078855 PECOS PAC ID: 9133525967 Enrollment ID: O20210902001563 |
| Entity Name | Premier Psychiatric Solutions Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053000430 PECOS PAC ID: 7012373020 Enrollment ID: O20230517002586 |
| Entity Name | Eventus Premier Healthcare Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437998309 PECOS PAC ID: 6305381013 Enrollment ID: O20240717001731 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Hess Blake, LPC 13422 Stone Dr, Bristol, VA 24202-4557 Ph: (276) 701-0030 | Jennifer Hess Blake, LPC 1114 E Main St, Lebanon, VA 24266-5014 Ph: (276) 701-0030 |
Cindy Joann Davis, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2050 Pioneer Dr, Lebanon, VA 24266 Phone: 276-202-2816 | |
Kristie L Bubke, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 102 Kemp St, Lebanon, VA 24266 Phone: 276-889-3063 Fax: 276-889-5025 | |
Michael D Bush, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 160 Rogers St, Lebanon, VA 24266 Phone: 276-889-3785 Fax: 276-889-2842 | |
Tionna Heredia, M.ED Counselor Medicare: Not Enrolled in Medicare Practice Location: 1245 E Main St, Lebanon, VA 24266 Phone: 276-445-7090 | |
Joni Lester, Counselor Medicare: Not Enrolled in Medicare Practice Location: 247 Gilmer St Ste B, Lebanon, VA 24266 Phone: 276-880-5063 | |
Stacy Nichole Davis, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 78 Rogers St, Lebanon, VA 24266 Phone: 276-889-3785 | |
Amy Clear, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 160 Rogers St, Lebanon, VA 24266 Phone: 276-889-3785 Fax: 276-889-2842 |