Individual provider Active NPI

Jenny E. Emmel, MS,LPCC

  • Professional Counselor
  • Hibbing, MN
National Provider Identifier
1386986644
Registry record updated Dec 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
615-10-15-08-212 Issued in ND
Practice address
3203 3Rd Ave W
Hibbing, MN 55746-2406
Phone
(218) 263-9237
Fax
(218) 262-3150
NPI assigned
Mar 25, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2014

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 615-10-15-08-212 ND Primary

Addresses

Primary practice location

3203 3Rd Ave W
Hibbing, MN 55746-2406

Mailing address

PO Box 1188
Virginia, MN 55792-1188
Phone (218) 749-2881

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240521001177 ND Practitioner - Mental Health Counselor 5092157271 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
May accept Medicare assignment
Group practices
D and L PCGroup PAC ID 3678579166, 4 clinicians

Practice addresses (Care Compare)

1316 23Rd S St
Fargo, ND 58103-3707
Phone (701) 478-0333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
D & L PC CurrentSince Mar 17, 2024 Accepting new patients
Range Mental Health Center PastSince Mar 26, 2013 Accepting new patients
Range Mental Health Center Inc Past Accepting new patients
Range Mental Health Center Inc Past Accepting new patients

Locations

1316 23rd St S
Fargo, ND 58103
Phone (701) 478-0333

Organizations & group practices 4

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": "1364169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417737600000",
    "number": "1386986644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1188",
            "city": "VIRGINIA",
            "state": "MN",
            "postal_code": "557921188",
            "telephone_number": "218-749-2881",
            "fax_number": "218-749-3806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3203 3RD AVE W",
            "city": "HIBBING",
            "state": "MN",
            "postal_code": "557462406",
            "telephone_number": "218-263-9237",
            "fax_number": "218-262-3150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMMEL",
        "first_name": "JENNY",
        "middle_name": "E.",
        "credential": "MS,LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-25",
        "last_updated": "2014-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ND",
            "license": "615-10-15-08-212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hibbing, MN

Sources for this page

Verify at the official NPI Registry.