Jennifer Ann Bomicino, MS, LPC
NPI 1477321552ActiveIndividual· Counselor, Professional· Prescott Valley, AZ
Counselor, Professional (MS, LPC) in Prescott Valley, Arizona, licensed in AZ, with an NPI issued in December 2023. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1477321552 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MS, LPC |
| Sole proprietor | No |
| NPI issued | Dec 18, 2023 |
| Last updated in NPPES | Dec 18, 2023 |
| Certified by provider | Dec 18, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | LPC-22658 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (AZ) |
|---|
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