JENNIFER ANN BOMICINO MS, LPC
NPI 1477321552
Counselor - Professional in Prescott Valley, AZ
About Jennifer Ann Bomicino Ms, Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNIFER ANN BOMICINO MS, LPC (NPI 1477321552) is an individual professional provider in Prescott Valley, Arizona, licensed in Arizona (LPC-22658) and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jennifer Ann Bomicino Ms, Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jennifer Bomicino reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Glendale, AZ 85308
- Reassigned Medicare billing, Arizona enrollment
- 40 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PRESCOTT VALLEY, AZ 86314
PRESCOTT VALLEY, AZ 86314
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jennifer Bomicino's NPI number?
The NPI number for Jennifer Bomicino is 1477321552. It was assigned to this individual provider in the NPPES registry on December 18, 2023.
Where is Jennifer Bomicino located?
Jennifer Bomicino practices at 2820 N Glassford Hill Rd, Prescott Valley, AZ 86314. The listed phone number is (844) 385-3474.
What is Jennifer Bomicino's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Jennifer Bomicino enrolled in Medicare?
Yes. Jennifer Bomicino is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jennifer Bomicino's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Bomicino reassigns Medicare benefits to Raymond W Lemberg Phd PC (Glendale, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jennifer Bomicino's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jennifer Bomicino accept?
Health plans from Blue Cross Blue Shield of Arizona and Cigna HealthCare of Arizona, Inc list Jennifer Bomicino as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jennifer Bomicino was last updated on December 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jennifer Ann Bomicino, MS, LPC · NPI 1477321552
Professional provider in Prescott Valley, Arizona. Individual provider, active in the CMS NPPES registry since December 18, 2023.
## Identity
- **NPI:** 1477321552 (Entity type: Individual)
- **Enumerated:** December 18, 2023
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** LPC-22658 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 2820 N GLASSFORD HILL RD, Prescott Valley, AZ 86314-1242
- **Phone:** (844) 385-3474
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Raymond W Lemberg Phd PC (NPI 1710162888, Glendale, AZ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 18, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1477321552) · Data from the CMS NPPES public registry.