Jennifer Roach, LMHC in Clinton, IN - Medicare Counselor Provider

Jennifer Roach, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Clinton, Indiana. Her current practice location is 777 S Main St Ste 100, Clinton, Indiana. You can reach out to her office (for appointments etc.) via phone at (765) 828-1003.

Jennifer Roach is licensed to practice in Indiana (license number 39002572A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1801541560.

Contact Information

	Jennifer Roach, LMHC
	777 S Main St Ste 100, Clinton, IN 47842-2493
	(765) 828-1003
	(765) 828-1030

Map and Direction

Healthcare Provider's Profile

Full Name	Jennifer Roach
Gender	Female
Speciality	Counselor - Mental Health
Location	777 S Main St Ste 100, Clinton, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801541560
Provider Enumeration Date: 02/21/2022
Last Update Date: 04/23/2024

Medicare PECOS Information:

PECOS PAC ID: 7113375676
Enrollment ID: I20231122002150

Medical Identifiers

Medical identifiers for Jennifer Roach such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801541560	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	39002572A (Indiana)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jennifer Roach allows following entities to bill medicare on her behalf.

Entity Name	Valley Professionals Community Health Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104006253 PECOS PAC ID: 7618067265 Enrollment ID: O20071219000487

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jennifer Roach is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jennifer Roach, LMHC 777 S Main St Ste 100, Clinton, IN 47842-2493 Ph: (765) 828-1003	Jennifer Roach, LMHC 777 S Main St Ste 100, Clinton, IN 47842-2493 Ph: (765) 828-1003

Reviews and Comments

Counselor in Clinton, IN

Paul Eric Southwick, MS, CADAC IV Counselor Medicare: Not Enrolled in Medicare Practice Location: 960 Morgan St, Clinton, IN 47842 Phone: 888-858-1723
Dana Edwardson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 777 S Main St Ste 100, Clinton, IN 47842 Phone: 765-828-1003
David Mcintyre, LCAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 777 S Main St Ste 100, Clinton, IN 47842 Phone: 765-828-1003
Kristina Ervin, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 510 S Main St, Clinton, IN 47842 Phone: 765-832-2436
Carol Adrienne Robinson, LACA Counselor Medicare: Not Enrolled in Medicare Practice Location: 777 S Main St Ste 100, Clinton, IN 47842 Phone: 765-828-1003
Sally Harris, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 510 S Main St, Clinton, IN 47842 Phone: 765-832-2436 Fax: 765-832-2486
Kaitlyn Clevenger, Counselor Medicare: Not Enrolled in Medicare Practice Location: 777 S Main St Ste 100, Clinton, IN 47842 Phone: 765-828-1003

Jennifer Roach, LMHC - Medicare Counselor in Clinton, IN