Individual provider Active NPI

Jane Fenby, LMHC

  • Mental Health Counselor
  • Exeland, WI
National Provider Identifier
1003910431
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH7601 Issued in FL
Practice address
13676 W Y Rd Ste 303
Exeland, WI 54835-2240
Phone
(813) 924-3136
NPI assigned
Sep 7, 2006
Last updated
Jan 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH7601 FL Primary
Professional Counselor 101YP2500X 8581-125 WI

Addresses

Primary practice location

13676 W Y Rd Ste 303
Exeland, WI 54835-2240

Mailing address

13676 W Y Rd
Exeland, WI 54835-2240
Phone (813) 924-3136

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH7601FLMDMental Health Counselor
8581-125WIMDProfessional Counselor

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1003910431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13676 W Y RD",
            "city": "EXELAND",
            "state": "WI",
            "postal_code": "548352240",
            "telephone_number": "813-924-3136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13676 W Y RD STE 303",
            "city": "EXELAND",
            "state": "WI",
            "postal_code": "548352240",
            "telephone_number": "813-924-3136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENBY",
        "first_name": "JANE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH7601",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "8581-125",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Exeland, WI

Sources for this page

Verify at the official NPI Registry.