Jessica Beasley Gunther

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.011191 Issued in IL

Practice address

201 S Hilgard St
O Fallon, IL 62269-2113

Phone

(618) 444-3894

NPI assigned

Dec 28, 2019

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Live Well Counseling Services

  • Clinical Social Worker
  • Venedy, IL
  • NPI 1881055838

  Clinical, IL

  Medicare reassignment Care Compare group NPD
• Soulwell LLC

  • Clinical Social Worker
  • O Fallon, IL
  • NPI 1417597154

  Clinical

  NPD

Specialty

Clinical Social Worker

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Live Well Counseling Services 14 clinicians

Practice addresses (Care Compare)

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

{
    "created_epoch": "1577491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577491200000",
    "number": "1417596156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S HILGARD ST",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622692113",
            "telephone_number": "618-444-3894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S HILGARD ST",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622692113",
            "telephone_number": "618-444-3894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEASLEY GUNTHER",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-28",
        "last_updated": "2019-12-28",
        "certification_date": "2019-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.011191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jessica.gunther@soulwell.me",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "mental health care",
            "address_1": "201 S Hilgard St",
            "city": "O Fallon",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622692113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• George A Bates, MS, LCPC
• Dana A Baugher, FNP
• Nathalia Eleanorlouise Baum, OTR/L
• Patricia Lynn Bealer, LMT
• Harold Joseph Bean, D.D.S.
• Christa L Becherer
• Natalie Beck, RN
• Shelbi Kate Beeding, BCBA
• Benjamin Carl Beggs, MD
• Tynesha Lasha Bejoile, BT

• All providers in O Fallon, IL
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2019; 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.

Verify at the official NPI Registry.