| Mr Jay Owen Wainscott, LPCC, LICDC-CS | |
|
6239 Wilmington Pike, Centerville, OH 45459-7108 | |
| (937) 319-4448 | |
| (937) 630-4391 |
| Full Name | Mr Jay Owen Wainscott |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 11 Years |
| Location | 6239 Wilmington Pike, Centerville, Ohio |
| 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 |
|---|---|---|---|
| 1548754146 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LICDC.111040 (Ohio) | Secondary |
| 101YM0800X | Counselor - Mental Health | E.1700023-SUPV (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Darcie R Clark Lpcc Llc | 3779958947 | 4 |
| Entity Name | Darcie R Clark Lpcc Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669842258 PECOS PAC ID: 3779958947 Enrollment ID: O20230331002603 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jay Owen Wainscott, LPCC, LICDC-CS 6020 Cobbleskill Ct, Centerville, OH 45459-2136 Ph: (937) 689-6528 | Mr Jay Owen Wainscott, LPCC, LICDC-CS 6239 Wilmington Pike, Centerville, OH 45459-7108 Ph: (937) 319-4448 |
Sasha N Bongorno, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10861 Yankee St, Centerville, OH 45458 Phone: 216-212-5856 | |
Ms. Kathy Sowder, LPCC, CCDC, III E Counselor Medicare: Not Enrolled in Medicare Practice Location: 7086 Corporate Way, Centerville, OH 45459 Phone: 937-435-5200 Fax: 937-435-5200 | |
Tiffanie Ann Pinnix, BA LCDC III Counselor Medicare: Not Enrolled in Medicare Practice Location: 950 E Alex Bell Rd # 100, Centerville, OH 45459 Phone: 937-291-2300 | |
Jill Alane Poppe Mackenzie, JD, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 955 Congress Park Dr, Centerville, OH 45459 Phone: 937-269-3047 | |
Ms. Lora N Firman, PSY. D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 90 Rhoads Center Dr, Centerville, OH 45458 Phone: 937-291-3342 | |
Erica Gad, CT Counselor Medicare: Not Enrolled in Medicare Practice Location: 10861 Yankee St, Centerville, OH 45458 Phone: 937-619-0800 | |
Meghan Alexis Cargill, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6601 Centerville Business Pkwy Ste 310, Centerville, OH 45459 Phone: 937-637-6735 |