| Jennifer Lynn Johnson-thomas, | |
|
2715 Bullis Ave, Gulfport, MS 39501-5233 | |
| (228) 220-4226 | |
| (228) 220-4303 |
| Full Name | Jennifer Lynn Johnson-thomas |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 8 Years |
| Location | 2715 Bullis Ave, Gulfport, Mississippi |
| 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 |
|---|---|---|---|
| 1205339553 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (NU) | Primary |
| 104100000X | Social Worker | (NU) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (NU) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Premier Professional Counseling Services, Llc | 7214329358 | 6 |
| Entity Name | Premier Professional Counseling Services, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750878781 PECOS PAC ID: 7214329358 Enrollment ID: O20220121001016 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Lynn Johnson-thomas, 3625 Youree Dr, Shreveport, LA 71105-2121 Ph: Not Available | Jennifer Lynn Johnson-thomas, 2715 Bullis Ave, Gulfport, MS 39501-5233 Ph: (228) 220-4226 |
Mrs. Brenda Kay Crew, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 127 Gary St, Gulfport, MS 39503 Phone: 228-832-4495 Fax: 228-832-4495 |
Mrs. Ashira Windsor, MSW, LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 1601 30th Ave, Gulfport, MS 39501 Phone: 228-284-2644 Fax: 855-402-2013 |
Krystal Rice, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1600 Broad Ave, Gulfport, MS 39501 Phone: 228-213-5888 Fax: 228-575-3433 |
Christina Machelle Davis, P-LPC, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 2352 E Pass Rd, Gulfport, MS 39507 Phone: 228-284-2337 Fax: 228-284-2337 |
Cynthia Willett, PCMHT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1600 Broad Ave, Gulfport, MS 39501 Phone: 228-863-1132 |
Ms. Rita A Rademacher, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1600 Broad Ave, Gulfport, MS 39501 Phone: 228-863-1132 Fax: 228-865-1700 |
Olivia Vepley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 417 Security Sq, Gulfport, MS 39507 Phone: 363-222-8206 |