Individual provider Active NPI

Jeanette Elaine Bilstein, MA

  • Professional Counselor
  • Torrington, WY
National Provider Identifier
1124679196
Registry record updated Sep 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PPC-1147 Issued in WY
Practice address
1419 Main St
Torrington, WY 82240-3340
Phone
(307) 532-4197
NPI assigned
Sep 21, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PPC-1147 WY Primary

Addresses

Primary practice location

1419 Main St
Torrington, WY 82240-3340

Mailing address

1609 22ND Ave
Mitchell, NE 69357-1218
Phone (402) 480-9604

Other identifiers 1

IdentifierTypeStateIssuer
101YP2500XMedicaidWY

Other names 1

  • Jeanette Elaine Bilstein Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
PPC-1147WYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph'S Children'S Home PastSince Sep 29, 2019 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1569024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569024000000",
    "number": "1124679196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 22ND AVE",
            "city": "MITCHELL",
            "state": "NE",
            "postal_code": "693571218",
            "telephone_number": "402-480-9604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 MAIN ST",
            "city": "TORRINGTON",
            "state": "WY",
            "postal_code": "822403340",
            "telephone_number": "307-532-4197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILSTEIN",
        "first_name": "JEANETTE",
        "middle_name": "ELAINE",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-21",
        "last_updated": "2019-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WY",
            "license": "PPC-1147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101YP2500X",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANETTE",
            "last_name": "BILSTEIN",
            "middle_name": "ELAINE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Torrington, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.