Jennifer Kinsella, MA, LPC
Individual provider Active NPI Professional Counselor · Saint Peters, MO
NPI 1124431473 · NPPES record last updated Jun 4, 2014
Key facts
- NPI
- 1124431473
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 2012018462 (MO)
- Practice address
- 1600 Heritage LNDG
116
Saint Peters, MO 63303-8489 - Phone
- (636) 345-1400
- Fax
- (636) 441-3262
- NPI assigned
- Jun 4, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2012018462 | MO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dragonfly Wellness, LLC | Professional | Past |
Accepting new patients |
| Collaborative Counseling, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2012018462 | MO | Yes |
Addresses
Primary practice location
1600 Heritage LNDG
116
Saint Peters, MO 63303-8489
Mailing address
1600 Heritage LNDG
116
Saint Peters, MO 63303-8489
Phone (636) 345-1400
Other providers in Saint Peters, MO
- Katelyn Kiermaier
- Kevin Michael Killian
- Rosa A Kincaid
- Kinetic Care Chiropractic & Rehabilitation, LLC
- Vanessa King
- Kirby J. Robinson, DDS of Missouri, LLC
- Anna Kisting
- Anna Andreevna Klass
- Kelsee Klein
- Denise Klobe
All providers in Saint Peters, MO · Professional Counselor in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 4, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.