Individual ProviderJenna EvansCounselorBehavioral Health & Social Service ProvidersPractice Address2215 Langhorne Rd, Lynchburg, VA 24501-1121(434) 948-4831(434) 847-8050PECOS EnrollmentBased on the most recent information from CMS, provider Jenna Evans is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:51 AM.Profile DetailsProvider ID1215560958Provider TypeIndividualFull NameEvans, JennaCredentialLPCGenderFemaleSole ProprietorNoEnumeration Date2/21/2020Last Updated2/21/2020Contact InformationPractice LocationPractice Address2215 Langhorne Rd, Lynchburg, VA 24501-1121Phone(434) 948-4831Fax(434) 948-4855Mailing LocationMailing Address2241 Langhorne Rd, Lynchburg, VA 24501-1114Phone(434) 847-8050Fax(434) 847-4129Provider TaxonomiesCodeDescriptionLicenseCode101YP2500XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense0701007674Virginia