| Jonathan D Durst, LMHC, NCC | |
|
8130 Oswego Rd, Suite 1, Liverpool, NY 13090-1520 | |
| (315) 652-0000 | |
| (315) 652-2736 |
| Full Name | Jonathan D Durst |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 22 Years |
| Location | 8130 Oswego Rd, Liverpool, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215067590 | NPI | - | NPPES |
| 6289140 | Other | OH | UNITED BEHAVIORAL HEALTH |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Light Counseling, Inc. | 1052702065 | 16 |
| Entity Name | Light Counseling, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154422764 PECOS PAC ID: 1052702065 Enrollment ID: O20211230001526 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan D Durst, LMHC, NCC 20 Stoutenger Rd, Phoenix, NY 13135-2182 Ph: () - | Jonathan D Durst, LMHC, NCC 8130 Oswego Rd, Suite 1, Liverpool, NY 13090-1520 Ph: (315) 652-0000 |
Lauren Hibbard, Counselor Medicare: Not Enrolled in Medicare Practice Location: 526 Old Liverpool Road, Liverpool, NY 13088 Phone: 315-453-3911 Fax: 315-453-0197 | |
Natasha Ginter, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8130 Oswego Rd, Liverpool, NY 13090 Phone: 315-652-0000 | |
Adam Siegel, Counselor Medicare: Not Enrolled in Medicare Practice Location: 526 Old Liverpool Rd, Liverpool, NY 13088 Phone: 315-453-3911 Fax: 315-453-0197 | |
Angela Rice, Counselor Medicare: Not Enrolled in Medicare Practice Location: 526 Old Liverpool Rd Ste 9, Liverpool, NY 13088 Phone: 315-453-3911 Fax: 315-453-0197 | |
Mrs. Pamela E. Gicale, MS, LMHC, RPT Counselor Medicare: Not Enrolled in Medicare Practice Location: 4321 Forestbrook Dr, Liverpool, NY 13090 Phone: 315-569-3696 | |
Leslie Woodward, Counselor Medicare: Not Enrolled in Medicare Practice Location: 526 Old Liverpool Rd, Liverpool, NY 13088 Phone: 315-453-3911 | |
Michelle Stiles, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 901 Buckley Rd, Liverpool, NY 13088 Phone: 315-238-4173 |