Blue Tree Counseling & Consultation - Medicare Mental Health Clinic in Davenport, IA

Blue Tree Counseling & Consultation is a medicare enrolled mental health clinic (Social Worker - Clinical) in Davenport, Iowa. The current practice location for Blue Tree Counseling & Consultation is 3475 Jersey Ridge Rd Ste 2, Davenport, Iowa. For appointments, you can reach them via phone at (319) 481-3534. The mailing address for Blue Tree Counseling & Consultation is 3475 Jersey Ridge Rd Ste 2, Davenport, Iowa and phone number is (319) 481-3534.

Blue Tree Counseling & Consultation is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1760095582. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (319) 481-3534.

Contact Information

Blue Tree Counseling & Consultation
3475 Jersey Ridge Rd Ste 2
Davenport
IA 52807-2293
(319) 481-3534
(563) 213-5615

Mental Health Clinic Profile

Full NameBlue Tree Counseling & Consultation
SpecialitySocial Worker
Location3475 Jersey Ridge Rd Ste 2, Davenport, Iowa
Authorized Official Name and PositionJillyn M Kaufman (OWNER/CLINICAL THERAPIST)
Authorized Official Contact3194813534
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Blue Tree Counseling & Consultation
3475 Jersey Ridge Rd Ste 2
Davenport
IA 52807-2293

Ph: (319) 481-3534
Blue Tree Counseling & Consultation
3475 Jersey Ridge Rd Ste 2
Davenport
IA 52807-2293

Ph: (319) 481-3534

NPI Details:

NPI Number1760095582
Provider Enumeration Date08/31/2020
Last Update Date12/10/2022
Certification Date12/10/2022

Medicare PECOS Information:

Medicare PECOS PAC ID5698193456
Medicare Enrollment IDO20200911000411

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› Verified 5 days ago

Medical Identifiers

Medical identifiers for Blue Tree Counseling & Consultation such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760095582NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Blue Tree Counseling & Consultation acts as a billing entity for following providers:
Provider NameJillyn M Kaufman
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1528225158
PECOS PAC ID: 9537315163
Enrollment ID: I20120814000042

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