Jenna Sue Fountain, - Psychologist in Andover, KS

Jenna Sue Fountain, is a Psychologist - Clinical based in Andover, Kansas. Jenna Sue Fountain is licensed to practice in Kansas (license number 03267-T) and her current practice location is 221 E King St, Andover, Kansas. She can be reached at her office (for appointments etc.) via phone at (316) 733-5047.

NPI number for Jenna Sue Fountain is 1093582942 and her current mailing address is 520 E Augusta Ave, Augusta, Kansas. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1093582942.

Contact Information

Jenna Sue Fountain,
221 E King St,
Andover, KS 67002-8964
(316) 733-5047
Not Available



Healthcare Provider's Profile

Full NameJenna Sue Fountain
GenderFemale
SpecialityPsychologist - Clinical
Location221 E King St, Andover, Kansas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1093582942
  • Provider Enumeration Date: 12/11/2023
  • Last Update Date: 12/11/2023

Medical Identifiers

Medical identifiers for Jenna Sue Fountain such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093582942NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 03267-T (Kansas)Primary

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. Jenna Sue Fountain is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jenna Sue Fountain,
520 E Augusta Ave,
Augusta, KS 67010-2100

Ph: () -
Jenna Sue Fountain,
221 E King St,
Andover, KS 67002-8964

Ph: (316) 733-5047

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› Verified 9 days ago


Psychologist in Andover, KS

Danielle Leigh Forbes, TLMLP
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 221 E King St, Andover, KS 67002
Phone: 316-733-5047    
Jill Roberts, LMLP
Psychologist
Medicare: Medicare Enrolled
Practice Location: 217 W Ira Ct, Andover, KS 67002
Phone: 316-733-5047    
Mr. John H Koppenhaver Iv, MA, LCP
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 217 W Ira Ct, Andover, KS 67002
Phone: 316-733-5047    Fax: 316-733-5060
Darci Elizabeth Klein, MS
Psychologist
Medicare: Medicare Enrolled
Practice Location: 217 W Ira Ct, Andover, KS 67002
Phone: 316-733-5047    
Jared Samuel Ohm, TLMLP
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 217 W Ira Ct, Andover, KS 67002
Phone: 316-733-5047    
Katherine Rayne Leahy, PSYD
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 217 W Ira Ct, Andover, KS 67002
Phone: 316-733-5047    

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