Ms Jennifer L Davenport, LMHCA, SUDP in Shelton, WA

Ms Jennifer L Davenport, LMHCA, SUDP is a medicare enrolled "Counselor - Mental Health" provider in Shelton, Washington. Her current practice location is 2120 Adams St, Shelton, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 580-2612.

Ms Jennifer L Davenport is licensed to practice in Washington (license number MC61045886) 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 1922230242.

Contact Information

	Ms Jennifer L Davenport, LMHCA, SUDP
	2120 Adams St, Shelton, WA 98584-2902
	(360) 580-2612
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Jennifer L Davenport
Gender	Female
Speciality	Counselor - Mental Health
Location	2120 Adams St, Shelton, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922230242
Provider Enumeration Date: 08/20/2009
Last Update Date: 09/30/2020

Medicare PECOS Information:

PECOS PAC ID: 7719416445
Enrollment ID: I20250125000143

Medical Identifiers

Medical identifiers for Ms Jennifer L Davenport such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922230242	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	00005501 (Washington)	Secondary
101YM0800X	Counselor - Mental Health	MC61045886 (Washington)	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. Ms Jennifer L Davenport allows following entities to bill medicare on her behalf.

Entity Name	Living Sound Therapeutic Services, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134768799 PECOS PAC ID: 1052846854 Enrollment ID: O20241202003314

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. Ms Jennifer L Davenport 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
Ms Jennifer L Davenport, LMHCA, SUDP 2120 Adams St, Shelton, WA 98584-2902 Ph: (360) 580-2612	Ms Jennifer L Davenport, LMHCA, SUDP 2120 Adams St, Shelton, WA 98584-2902 Ph: (360) 580-2612

Reviews and Comments

Counselor in Shelton, WA

Lisa Hammond, CDPT Counselor Medicare: Not Enrolled in Medicare Practice Location: 235 S 3rd St, Shelton, WA 98584 Phone: 360-426-0890
Dylan Glebe, Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 W K St, Shelton, WA 98584 Phone: 360-426-1696
James P Fernandes, MA , MHP, CAAR Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 W K St, Shelton, WA 98584 Phone: 360-426-1696
Weston Joseph Broussard Ii, Counselor Medicare: Not Enrolled in Medicare Practice Location: 307 W Cota St, Shelton, WA 98584 Phone: 360-205-8002
Theresa Richards, CDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 235 S 3rd St, Shelton, WA 98584 Phone: 360-426-0890
Milonna Close, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 307 W Cota St, Shelton, WA 98584 Phone: 360-205-8001 Fax: 360-839-2820
Devin Ray Allen, AAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 307 W Cota St, Shelton, WA 98584 Phone: 360-205-8001

Ms Jennifer L Davenport, LMHCA, SUDP - Medicare Counselor in Shelton, WA