Jenelle Linden, MA, LMHC, LPC, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

39002692A Issued in IN

Practice address

1501 J St
Bedford, IN 47421-3847

Phone

(812) 902-8007

Fax

(833) 212-9488

NPI assigned

Feb 27, 2013

Last updated

Apr 16, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

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, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• 1 Identity Counseling, LLC

  • Mental Health Counselor
  • Bedford, IN
  • NPI 1740795640
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1361923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618531200000",
    "number": "1073853024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 J ST",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474213847",
            "telephone_number": "812-902-8007",
            "fax_number": "833-212-9488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 J ST",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474213847",
            "telephone_number": "812-902-8007",
            "fax_number": "833-212-9488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDEN",
        "first_name": "JENELLE",
        "credential": "MA, LMHC, LPC, LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-27",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.009603",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401017440",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39002692A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300013338",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly J Ledden, MNT
• Katelyn Lee, LMHC
• Leila Alter, DDS, P.C.
• Limestone Laboratory Pathology Consultants, LLC
• Limestone Treatment & Healing Center LLC
• Angela Long, O.D.
• Carrie Long, PMHNP
• Carrie Long, AT
• Paula Lounsberry, PT
• Michelle Diane Lower, CRNA

• Mental Health Counselor in Bedford, IN
• Providers in Bedford, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2021; 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.