Jennifer Ann Engle

Primary specialty

CounselorTaxonomy code 101Y00000X

License

2017027585 Issued in MO

Practice address

4304 S Bearfield Rd
Columbia, MO 65201-9557

Phone

(573) 355-1197

Fax

(573) 874-8608

NPI assigned

Aug 4, 2017

Last updated

Aug 4, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1501804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501804800000",
    "number": "1376068924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1517 TIMBER CREEK DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652021300",
            "telephone_number": "573-355-1197",
            "fax_number": "573-874-8608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4304 S BEARFIELD RD",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652019557",
            "telephone_number": "573-355-1197",
            "fax_number": "573-874-8608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGLE",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-04",
        "last_updated": "2017-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MO",
            "license": "2017027585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2017027585",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Empowered Life, LLC
• Empowerme Rehabilitation Missouri LLC
• Angel Jaime Enciso, MD
• Allison Brooke Engelbrecht, MD
• Janice Lynn Englander, RPH
• Rachel English
• Mary Rachel Enoch, BCBA, LBA
• Laken M Enochs, MA, LPC
• John H Ensor, MED, LPC
• Epoch - Central Missouri Limited Liability Company

• Counselor in Columbia, MO
• Providers in Columbia, MO by specialty
• Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2017; 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.