Jessica Young, LPC, CMHIMP is a medicare enrolled "Counselor - Professional" provider in Walworth, Wisconsin. She graduated from healthcare school in 2009 and has 16 years of diverse experience with area of expertise as Mental Health Counselor. Her current practice location is
129 Kenosha St, Walworth, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(262) 607-2770.
Jessica Young is licensed to practice in Wisconsin (license number 5479-125) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1902200108.
Healthcare Provider's Profile
| Full Name | Jessica Young |
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| Gender | Female |
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| Speciality | Mental Health Counselor |
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| Experience | 16 Years |
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| Location | 129 Kenosha St, Walworth, Wisconsin |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Jessica Young graduated from medical school in 2009
NPI Data:
- NPI Number: 1902200108
- Provider Enumeration Date: 10/16/2014
- Last Update Date: 11/16/2021
Medicare PECOS Information:
- PECOS PAC ID: 0749625465
- Enrollment ID: I20240304001766
Medical Identifiers
Medical identifiers for Jessica Young such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1902200108 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YP2500X | Counselor - Professional | 5479-125 (Wisconsin) | 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. Jessica Young allows following entities to bill medicare on her behalf.
| Entity Name | Center For Change, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1720511330 PECOS PAC ID: 9830534551 Enrollment ID: O20240304001640 |
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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. Jessica Young 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 |
Jessica Young, LPC, CMHIMP Po Box 252, Walworth, WI 53184 Ph: (262) 607-2770 | Jessica Young, LPC, CMHIMP 129 Kenosha St, Walworth, WI 53184 Ph: (262) 607-2770 |
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