| Jesse Martin, LPC MED | |
|
300 S Walnut Ln Ste 201, Beaver, PA 15009-1737 | |
| (724) 907-1667 | |
| Not Available |
| Full Name | Jesse Martin |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 300 S Walnut Ln Ste 201, Beaver, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346709748 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | PC010987 (Pennsylvania) | Primary |
| Entity Name | New Directions Mental Health, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215904800 PECOS PAC ID: 0345228318 Enrollment ID: O20040708000230 |
| Mailing Address | Practice Location Address |
|---|---|
| Jesse Martin, LPC MED 300 S Walnut Ln Ste 201, Beaver, PA 15009-1737 Ph: (724) 907-1667 | Jesse Martin, LPC MED 300 S Walnut Ln Ste 201, Beaver, PA 15009-1737 Ph: (724) 907-1667 |
Ann Mikulich, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1607 3rd St, Suite A101, Beaver, PA 15009 Phone: 724-728-8400 | |
Mrs. Jacquelyn Michelle Matotek, M.A.,NCC, LPC, CCTP Counselor Medicare: Not Enrolled in Medicare Practice Location: 250 Insurance St, Suite 304, Beaver, PA 15009 Phone: 724-371-6838 | |
Ms. Holly Marra, Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 Market St Ste 300, Beaver, PA 15009 Phone: 724-728-0535 Fax: 724-728-1605 | |
Ms. Kimberly Kunkel, MED LPC Counselor Medicare: Medicare Enrolled Practice Location: 1607 Third Street, Beaver, PA 15009 Phone: 724-728-8411 Fax: 724-728-8410 | |
Noelle Nuzzo, Counselor Medicare: Medicare Enrolled Practice Location: 1607 3rd St, Beaver, PA 15009 Phone: 724-728-8400 | |
Jason Prem, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1607 3rd St, Beaver, PA 15009 Phone: 724-728-8411 | |
Krista Lion, Counselor Medicare: Not Enrolled in Medicare Practice Location: 701 Sharon Rd Ste 2, Beaver, PA 15009 Phone: 724-683-1058 |