Active NPI
Jeri Lynch, LAPC
- Professional Counselor
- Jamestown, ND
National Provider Identifier
1376097675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 870-4-15-16A
- Practice address
- 612 1St Ave N
Jamestown, ND 58401-3304 - Phone
- (701) 252-5586
- NPI assigned
- Aug 4, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 870-4-15-16A | ND | Primary |
Addresses
Primary practice location
612 1St Ave N
Jamestown, ND 58401-3304
Mailing address
612 1St Ave N
Jamestown, ND 58401-3304
Phone (701) 252-5586
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250829003048 | ND | Practitioner - Mental Health Counselor | 4284135393 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2015
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
418 E Broadway Ave
Suite 7
Bismarck, ND 58501-4086
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Emotional Spiritual & Mental Health LLC | Professional | Current | Accepting new patients |
Locations
418 E Broadway Ave
Ste 7
Bismarck, ND 58501
Phone (701) 380-5100
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 and National Provider Directory roles.
-
- Professional Counselor
- Bismarck, ND
- NPI 1649847831
Professional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470268800000",
"number": "1376097675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "612 1ST AVE N",
"city": "JAMESTOWN",
"state": "ND",
"postal_code": "584013304",
"telephone_number": "701-252-5586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "612 1ST AVE N",
"city": "JAMESTOWN",
"state": "ND",
"postal_code": "584013304",
"telephone_number": "701-252-5586"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYNCH",
"first_name": "JERI",
"credential": "LAPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-04",
"last_updated": "2016-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ND",
"license": "870-4-15-16A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jamestown, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2016; 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.