| Tracy Jensen, LPC | |
|
1300 Old Plank Rd, Mayfield, PA 18433-1973 | |
| (570) 281-6222 | |
| Not Available |
| Full Name | Tracy Jensen |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 1300 Old Plank Rd, Mayfield, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144096751 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | PC016403 (Pennsylvania) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Entity Name | B-k Health Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619352978 PECOS PAC ID: 8921091745 Enrollment ID: O20040407000467 |
| Entity Name | Willow Haven Counseling Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588404099 PECOS PAC ID: 5890226070 Enrollment ID: O20240927002623 |
| Mailing Address | Practice Location Address |
|---|---|
| Tracy Jensen, LPC 429 Hemlock St, Jermyn, PA 18433-1205 Ph: (814) 232-7112 | Tracy Jensen, LPC 1300 Old Plank Rd, Mayfield, PA 18433-1973 Ph: (570) 281-6222 |
Courtney Zukoski, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1300 Old Plank Rd, Mayfield, PA 18433 Phone: 570-878-3833 | |
Magdalena Hallowell, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1300 Old Plank Rd, Mayfield, PA 18433 Phone: 570-281-6222 | |
Jillian P Gratz, MA, NCC, LAPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1300 Old Plank Rd Ste 800, Mayfield, PA 18433 Phone: 570-878-3833 | |
Linde Mcdonough, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1300 Old Plank Rd, Mayfield, PA 18433 Phone: 570-281-6222 | |
Erin Mcgrady, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1300 Old Plank Rd, Mayfield, PA 18433 Phone: 570-285-5049 | |
Lindsay Patricia Hickey, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1300 Old Plank Rd, Mayfield, PA 18433 Phone: 570-878-3833 |