| Shelly Jones, LPCC | |
|
130 W 3rd St, Dover, OH 44622-2934 | |
| (330) 343-6600 | |
| (330) 343-6405 |
| Full Name | Shelly Jones |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 130 W 3rd St, Dover, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912458514 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | E.1200446 (Ohio) | Primary |
| Entity Name | Family & Community Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750607057 PECOS PAC ID: 1557495223 Enrollment ID: O20100817000529 |
| Entity Name | Axesspointe Community Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548214935 PECOS PAC ID: 5395705545 Enrollment ID: O20170131000781 |
| Mailing Address | Practice Location Address |
|---|---|
| Shelly Jones, LPCC 130 W 3rd St, Dover, OH 44622-2934 Ph: (330) 343-6600 | Shelly Jones, LPCC 130 W 3rd St, Dover, OH 44622-2934 Ph: (330) 343-6600 |
Mrs. Jill Ann Watson, LPC, CTT Counselor Medicare: Medicare Enrolled Practice Location: 547 1/2 S James St, Ste. A, Dover, OH 44622 Phone: 330-343-7400 Fax: 330-343-7414 | |
Jacqueline Lynn Hostetler, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 Hospital Dr, Dover, OH 44622 Phone: 330-343-6631 Fax: 330-343-8188 | |
Lisa Barnes, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 S. Wooster Ave, Dover, OH 44622 Phone: 833-510-4357 | |
Patricia Virginia Small, LPCC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 130 W 3rd St, Dover, OH 44622 Phone: 303-436-6003 Fax: 330-343-6405 | |
Heather Ely, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 S Wooster Ave, Dover, OH 44622 Phone: 513-834-7063 Fax: 513-873-1567 | |
Barbara J Wallis, LPCC-SUPV Counselor Medicare: Medicare Enrolled Practice Location: 130 W 3rd St, Dover, OH 44622 Phone: 330-343-6600 Fax: 330-343-6405 | |
Joseph Tyler Lemmer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 Hospital Dr, Dover, OH 44622 Phone: 330-343-6631 |