Jared Bingham is a Professional Counselor in the EVANSTON area. Jared Bingham primary office location is at 190 OVERTHRUST RD and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1053751347 and the information was updated approximately 8 years ago.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
| License Number | State |
|---|---|
| LCPC 3721 | ID |
| LPC-1745 | WY |
| Taxonomy | State | Primary? |
|---|---|---|
| Professional Counselor - Taxonomy Code 101YP2500X | WY | Y |
| Addiction Counselor - Taxonomy Code 101YA0400X | ID | N |
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | |
| PECOS Individual PAC ID: | |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | - |
| Eligible to order/refer Power Mobility Devices (PMD) | - |