Kendra Elizabeth Wickline, LCSW, LAC in Lafayette, CO

Kendra Elizabeth Wickline, LCSW, LAC is a medicare enrolled "Counselor - Mental Health" provider in Lafayette, Colorado. Her current practice location is 1455 Dixon Ave, Lafayette, Colorado. You can reach out to her office (for appointments etc.) via phone at (303) 443-8500.

Kendra Elizabeth Wickline is licensed to practice in Colorado (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1134608532.

Contact Information

	Kendra Elizabeth Wickline, LCSW, LAC
	1455 Dixon Ave, Lafayette, CO 80026-8879
	(303) 443-8500
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kendra Elizabeth Wickline
Gender	Female
Speciality	Counselor - Mental Health
Location	1455 Dixon Ave, Lafayette, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134608532
Provider Enumeration Date: 08/07/2018
Last Update Date: 03/01/2022

Medicare PECOS Information:

PECOS PAC ID: 2769845148
Enrollment ID: I20230901000315

Medical Identifiers

Medical identifiers for Kendra Elizabeth Wickline such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134608532	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	ACD.0001819 (Colorado)	Secondary
101YM0800X	Counselor - Mental Health	CSW.09927949 (Colorado)	Secondary
101YM0800X	Counselor - Mental Health	(Colorado)	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. Kendra Elizabeth Wickline allows following entities to bill medicare on her behalf.

Entity Name	Mental Health Center Of Boulder County, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093767543 PECOS PAC ID: 2163314857 Enrollment ID: O20040326001284

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. Kendra Elizabeth Wickline 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
Kendra Elizabeth Wickline, LCSW, LAC 529 Coffman St, Longmont, CO 80501-5450 Ph: (303) 245-4447	Kendra Elizabeth Wickline, LCSW, LAC 1455 Dixon Ave, Lafayette, CO 80026-8879 Ph: (303) 443-8500

Reviews and Comments

Counselor in Lafayette, CO

Sheila Abichandani, MA LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1120 W South Boulder Rd, Lafayette, CO 80026 Phone: 805-729-4240
Laura Grace-cole Spicer, MSW, CACII Counselor Medicare: Not Enrolled in Medicare Practice Location: 1455 Dixon Ave, Lafayette, CO 80026 Phone: 303-358-9371
Karlie Michelle Esworthy, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1455 Dixon Ave, Lafayette, CO 80026 Phone: 303-443-8500
Gauri Arora, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1455 Dixon Ave, Lafayette, CO 80026 Phone: 303-443-8500
William Gaub, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1455 Dixon Ave, Lafayette, CO 80026 Phone: 303-443-8500
Mollie E Shin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1455 Dixon Ave, Lafayette, CO 80026 Phone: 713-384-8421
Patricia Ann Harris, MA, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1495 Overlook Drive, Bldg A, Unit G5, Lafayette, CO 80026 Phone: 303-921-7970

Kendra Elizabeth Wickline, LCSW, LAC - Medicare Counselor in Lafayette, CO