Individual provider Active NPI

Jenna Beth Krehbiel, LSCSW

  • Clinical Social Worker
  • Salina, KS
National Provider Identifier
1407055635
Registry record updated Nov 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4044 Issued in KS
Practice address
1110 Nottingham Dr
Salina, KS 67401-4858
Phone
(785) 452-2034
Fax
(785) 404-6365
NPI assigned
Jul 17, 2007
Last updated
Nov 13, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LMSW 6787 KS
Clinical Social Worker 1041C0700X 4044 KS Primary

Addresses

Primary practice location

1110 Nottingham Dr
Salina, KS 67401-4858

Mailing address

1110 Nottingham Dr
Salina, KS 67401
Phone (785) 452-2034

Other identifiers 1

IdentifierTypeStateIssuer
862834OtherKSBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20110420000567 KS Practitioner - Clinical Social Worker 3375728165 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMSW 6787KSMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Clinic, LLC Clinical CurrentSince Jun 29, 2015 Accepting new patients

Locations

600 S Santa Fe Ave
Ste C
Salina, KS 67401
Phone (316) 288-8009

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, 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": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352764800000",
    "number": "1407055635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 NOTTINGHAM DR",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "67401",
            "telephone_number": "785-452-2034",
            "fax_number": "785-404-6365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 NOTTINGHAM DR",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674014858",
            "telephone_number": "785-452-2034",
            "fax_number": "785-404-6365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREHBIEL",
        "first_name": "JENNA",
        "middle_name": "BETH",
        "credential": "LSCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-17",
        "last_updated": "2012-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "LMSW 6787",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "4044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "862834",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salina, KS

Sources for this page

Verify at the official NPI Registry.