| Jessica Joyce Mayer, MA, LPC | |
|
1125 E Milham Ave Ste B, Portage, MI 49002-3096 | |
| (269) 312-1446 | |
| (269) 775-1079 |
| Full Name | Jessica Joyce Mayer |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 1125 E Milham Ave Ste B, Portage, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396099628 | NPI | - | NPPES |
| 1396099628 | Medicaid | MI | |
| 101YM0800X | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 6401013204 (Michigan) | Secondary |
| 101YP2500X | Counselor - Professional | 6401013204 (Michigan) | Primary |
| Entity Name | Serene Solutions |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326545260 PECOS PAC ID: 0042641136 Enrollment ID: O20200505000744 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Joyce Mayer, MA, LPC 38785 Wingate Dr, Clinton Township, MI 48038-3248 Ph: (586) 489-9121 | Jessica Joyce Mayer, MA, LPC 1125 E Milham Ave Ste B, Portage, MI 49002-3096 Ph: (269) 312-1446 |
Mrs. Pamela Regina Robinson, LLMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1151 W Milham Ave, Portage, MI 49024 Phone: 269-205-3356 | |
Melissa Portia Fuller, LPC Counselor Medicare: Medicare Enrolled Practice Location: 7895 Currier Dr, Portage, MI 49002 Phone: 269-910-7327 | |
Craig Bolthouse, LLMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 6070 Newport Rd, Portage, MI 49002 Phone: 269-409-3000 | |
Tawanda Clarke, M.A., LPC, CAADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 609 Southland Ave, Portage, MI 49024 Phone: 269-808-6556 | |
Suzanne Degraves, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1591 W Centre Ave Ste 103&105, Portage, MI 49024 Phone: 269-323-2553 | |
Amy Albertson, Counselor Medicare: Medicare Enrolled Practice Location: 1651 W Centre Ave, Portage, MI 49024 Phone: 269-366-0650 | |
Dr. Damon Delano Chambers, LPC Counselor Medicare: Medicare Enrolled Practice Location: 4621 Hanover Ave, Portage, MI 49002 Phone: 269-267-8203 |