Jenna Beth Koesters, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C.1901819 Issued in OH

Practice address

720 Armstrong St
Saint Marys, OH 45885-1800

Phone

(419) 394-7451

Fax

(419) 394-8051

NPI assigned

Apr 24, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Center for Personal Wellness, LLCGroup PAC ID 6507202256, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Law

State licenses

Practice roles

Locations

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

• Center for Personal Wellness, LLC

  • Professional Counselor
  • Minster, OH
  • NPI 1437490877
  Medicare reassignment Care Compare group NPD
• JTDM Family Practice LLC

  • Family Medicine Physician
  • St Marys, OH
  • NPI 1184652539
  NPD (past)

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

{
    "created_epoch": "1524528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555286400000",
    "number": "1013405299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 ARMSTRONG ST",
            "city": "SAINT MARYS",
            "state": "OH",
            "postal_code": "458851800",
            "telephone_number": "419-394-7451",
            "fax_number": "419-394-8051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 ARMSTRONG ST",
            "city": "SAINT MARYS",
            "state": "OH",
            "postal_code": "458851800",
            "telephone_number": "419-394-7451",
            "fax_number": "419-394-8051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOESTERS",
        "first_name": "JENNA",
        "middle_name": "BETH",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-24",
        "last_updated": "2019-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.1901819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0295403",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Ann Keller
• Courtney Klausing, RRT
• Andrea E Knapke, PA-C
• Brianne Knapke, COTA/L
• Jodi Knouff, LISW
• Brendon James Kohler
• Brittney Koverman, LSW
• Tyler Kroeger, PHARMD
• Kroger Limited Partnership I
• Jane Ellen Laird, M.A.CCC/SLP

• Mental Health Counselor in Saint Marys, OH
• Providers in Saint Marys, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.