| Jennifer Lynn Fry, LMSW | |
|
1700 Rainbow Blvd, Excelsior Springs, MO 64024-1182 | |
| (816) 629-8821 | |
| (816) 629-2701 |
| Full Name | Jennifer Lynn Fry |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 1700 Rainbow Blvd, Excelsior Springs, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134902869 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 2010020809 (Missouri) | Primary |
| Entity Name | Excelsior Springs City Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285733923 PECOS PAC ID: 7315847209 Enrollment ID: O20040108000958 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Lynn Fry, LMSW 1700 Rainbow Blvd, Excelsior Springs, MO 64024-1182 Ph: (816) 629-8821 | Jennifer Lynn Fry, LMSW 1700 Rainbow Blvd, Excelsior Springs, MO 64024-1182 Ph: (816) 629-8821 |
Shayna Frazier, PLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1700 Rainbow Blvd, Excelsior Springs, MO 64024 Phone: 816-629-3551 | |
Michael Thomas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1700 Rainbow Blvd, Excelsior Springs, MO 64024 Phone: 816-629-3551 | |
Dr. Thomas Mason Lumpkins, MA, PSYD, CRAADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1700 Rainbow Blvd, Excelsior Springs, MO 64024 Phone: 816-629-8118 Fax: 816-629-2701 | |
Danielle Lynn Callen, MAADC II, MA, QMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1700 Rainbow Blvd, Excelsior Springs, MO 64024 Phone: 816-629-3551 |