| Mr Jason Franklin Clemons, LPC | |
|
12117 Ocean Hwy, Pawleys Island, SC 29585-7941 | |
| (843) 545-1271 | |
| (843) 237-8551 |
| Full Name | Mr Jason Franklin Clemons |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 24 Years |
| Location | 12117 Ocean Hwy, Pawleys Island, South Carolina |
| 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 |
|---|---|---|---|
| 1225257298 | NPI | - | NPPES |
| PC1003 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 4804 (South Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Georgetown Physician Associates, Llc | 2365697398 | 221 |
| Charleston Counseling Center Pc | 6204125107 | 186 |
| Entity Name | Georgetown Physician Associates, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235475930 PECOS PAC ID: 2365697398 Enrollment ID: O20130225000067 |
| Entity Name | Charleston Counseling Center PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316375678 PECOS PAC ID: 6204125107 Enrollment ID: O20160517000323 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jason Franklin Clemons, LPC Po Box 4325, Pawleys Island, SC 29585-8325 Ph: (843) 545-1271 | Mr Jason Franklin Clemons, LPC 12117 Ocean Hwy, Pawleys Island, SC 29585-7941 Ph: (843) 545-1271 |
Zifa Hackett, Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 Willbrook Blvd Ste S1015, Pawleys Island, SC 29585 Phone: 515-423-5585 |
Christine L James, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 14361 Ocean Hwy Ste 308, Pawleys Island, SC 29585 Phone: 267-279-9340 |
Dioselina Ruiz Godbold, MA, LPCI, CT Counselor Medicare: Not Enrolled in Medicare Practice Location: 12117 Ocean Hwy, Pawleys Island, SC 29585 Phone: 843-237-8231 |
Mrs. Shannon Garlock Davis, MA, LPC Counselor Medicare: Medicare Enrolled Practice Location: 14323 Ocean Hwy Unit 4103, Pawleys Island, SC 29585 Phone: 843-602-0884 |
Nancy Riesmeyer Pugmire, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 112 Palisade Loop, Pawleys Island, SC 29585 Phone: 404-840-1901 |
Mrs. Jessica Elizabeth Roman, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 14323 Ocean Hwy Unit 4103, Pawleys Island, SC 29585 Phone: 843-779-2264 Fax: 866-580-4842 |
Ruzanna K Carter, LPC Counselor Medicare: May Accept Medicare Assignments Practice Location: 224 Captiva Cove Loop, Pawleys Island, SC 29585 Phone: 803-397-7615 |