| Mr Derrick A Mason, LMFT | |
|
1048 Ashley St Ste 201, Bowling Green, KY 42103-2449 | |
| (270) 904-6567 | |
| Not Available |
| Full Name | Mr Derrick A Mason |
|---|---|
| Gender | Male |
| Speciality | Marriage & Family Therapist |
| Location | 1048 Ashley St Ste 201, Bowling Green, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780901983 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 09-013 (Kentucky) | Secondary |
| 106H00000X | Marriage & Family Therapist | 106719 (Kentucky) | Primary |
| Entity Name | Talkspace Provider Network Mi, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033999800 PECOS PAC ID: 3971034638 Enrollment ID: O20241004001991 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Derrick A Mason, LMFT 1048 Ashley St Ste 201, Bowling Green, KY 42103-2449 Ph: (270) 904-6567 | Mr Derrick A Mason, LMFT 1048 Ashley St Ste 201, Bowling Green, KY 42103-2449 Ph: (270) 904-6567 |
Lisa Rae Rice, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1830 Destiny Ln, Suite 107, Bowling Green, KY 42104 Phone: 270-846-3222 Fax: 270-846-3228 | |
Kimberly G Early, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1830 Destiny Court, Suite 107, Bowling Green, KY 42104 Phone: 270-846-3222 Fax: 270-846-3228 | |
Jennifer Nicole Wheeler, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 181 W Professional Park Ct, Suite 1, Bowling Green, KY 42104 Phone: 270-843-5300 Fax: 270-843-5383 | |
Dr. John Sivley, LCSW Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 380 Suwannee Trail Street, Bowling Green, KY 42103 Phone: 270-901-5000 Fax: 270-842-5268 | |
Mr. David E. Scott, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 1910 Lyda Ave, Bowling Green, KY 42104 Phone: 270-904-6567 | |
Shelby French, MMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 814 State St Ste 205, Bowling Green, KY 42101 Phone: 615-541-9636 | |
Caleb Joshua Bonner, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 410 E 11th Ave, Bowling Green, KY 42101 Phone: 270-438-3191 |