Individual provider Active NPI

Jill Ann Baechle, MSW, LCSW

  • Clinical Social Worker
  • Ballwin, MO
National Provider Identifier
1184345571
Registry record updated Feb 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
004548 Issued in MO
Practice address
301 Sovereign CT Ste 211
Ballwin, MO 63011-4435
Phone
(314) 303-8788
NPI assigned
Sep 6, 2022
Last updated
Feb 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 004548 MO Primary

Addresses

Primary practice location

301 Sovereign CT Ste 211
Ballwin, MO 63011-4435

Mailing address

17250 Hilltop Ridge Dr
Eureka, MO 63025-1039
Phone (314) 303-8788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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

Enrollment IDStateProvider typePAC IDDetails
I20240220001199 MO Practitioner - Clinical Social Worker 7618311531 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Talkspace Provider Network PAGroup PAC ID 5799136701, 249 clinicians

Practice addresses (Care Compare)

301 Sovereign CT
Suite 211
Ballwin, MO 63011-4435
Phone (314) 303-8788

56510 Janapas TRL
Hannibal, MO 63401-7696
Phone (561) 221-5696

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004548MOMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jill Baechle Counseling Services CurrentSince Jan 20, 2024 Accepting new patients
Talkspace Provider Network PA CurrentSince Mar 24, 2024 Accepting new patients

Locations

301 Sovereign Ct
Ste 211
Ballwin, MO 63011
Phone (314) 303-8788

2578 Broadway
Ste 607
New York, NY 10025
Phone (304) 308-3735

Organizations & group practices 2

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": "1662422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706918400000",
    "number": "1184345571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17250 HILLTOP RIDGE DR",
            "city": "EUREKA",
            "state": "MO",
            "postal_code": "630251039",
            "telephone_number": "314-303-8788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 SOVEREIGN CT STE 211",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630114435",
            "telephone_number": "314-303-8788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAECHLE",
        "first_name": "JILL",
        "middle_name": "ANN",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-06",
        "last_updated": "2024-02-03",
        "certification_date": "2024-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "004548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ballwin, MO

Sources for this page

Verify at the official NPI Registry.