| Jennifer Stewart Willis, LPC | |
|
3840 Hulen St, Fort Worth, TX 76107-7277 | |
| (817) 335-3022 | |
| Not Available |
| Full Name | Jennifer Stewart Willis |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 3840 Hulen St, Fort Worth, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598268724 | NPI | - | NPPES |
| 0 | Other | NONE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 75254 (Texas) | Primary |
| 101YM0800X | Counselor - Mental Health | 75254 (Texas) | Secondary |
| Entity Name | Supportive Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477895043 PECOS PAC ID: 7719126655 Enrollment ID: O20130625000484 |
| Entity Name | Sondermind Provider Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210326001541 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Stewart Willis, LPC 4228 Jenny Lake Trl, Fort Worth, TX 76244-6921 Ph: (817) 300-0291 | Jennifer Stewart Willis, LPC 3840 Hulen St, Fort Worth, TX 76107-7277 Ph: (817) 335-3022 |
Jamie L Cole, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 801 7th Ave, Case Management, Fort Worth, TX 76104 Phone: 682-885-3991 | |
Ms. Yolanda Valenzuela, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 901 7th Ave, Fort Worth, TX 76104 Phone: 682-885-1480 | |
Mrs. Kathleen Margaret Bass, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3901 Kirby Dr, #1014, Fort Worth, TX 76155 Phone: 817-915-0359 | |
Felice Mayes, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2928 W 5th St, Fort Worth, TX 76107 Phone: 817-332-6348 Fax: 817-332-6489 | |
Jessica Batts, MA, LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5601 Bridge St, Ste. 300, Fort Worth, TX 76112 Phone: 682-292-8413 | |
Carrie Rimato, Counselor Medicare: Medicare Enrolled Practice Location: 9840 Gallatin Ln, Fort Worth, TX 76177 Phone: 979-236-8325 | |
Colleen Casey Johnson, LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3840 Hulen St, Fort Worth, TX 76107 Phone: 817-335-3022 |