Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jennifer Ann Bomicino, MS, LPC

Individual provider Professional Counselor · NPI 1477321552

Jennifer Ann Bomicino, MS, LPC is a Mental Health Counselor in Prescott Valley, Arizona. Qualified in 2019, 7 years ago. Practices with Raymond W Lemberg PHD PC, a 26-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
7
Licensed in
AZ
In the registry since
2023
What do these letters mean?
MS — Master of Science
A graduate science degree.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

2820 N Glassford Hill Rd
Prescott Valley, AZ 86314-1242
Phone: (844) 385-3474
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPC-22658 (AZ)

Record details

NPI number1477321552
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , LPC
Sole proprietorNo
NPI enumeratedDecember 18, 2023
Last updated in NPPESDecember 18, 2023
Certification dateDecember 18, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Raymond W Lemberg Phd Pc — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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