Individual provider Active NPI

Jeanelle C Herrel, LCPC

  • Professional Counselor
  • Moundridge, KS
National Provider Identifier
1457545766
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LCPC 714 Issued in KS
Practice address
324 E 2ND St
Moundridge, KS 67107-7164
Phone
(620) 387-6639
NPI assigned
Aug 29, 2007
Last updated
Aug 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LCPC 714 KS Primary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X

Addresses

Primary practice location

324 E 2ND St
Moundridge, KS 67107-7164

Mailing address

324 E 2ND St
Moundridge, KS 67107-7164
Phone (620) 387-6639

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
I20241030003843 KS Practitioner - Mental Health Counselor 6507399482 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

218 E Pack St
Moundridge, KS 67107-8815
Phone (620) 387-6339

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCPC 714KSMDProfessional Counselor
714KSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
New Beginnings Counseling and Educational Services Single Specialty CurrentSince Sep 3, 2024 Accepting new patients

Locations

324 E 2nd St
Moundridge, KS 67107
Phone (620) 345-2100

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": "1188345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1457545766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 E 2ND ST",
            "city": "MOUNDRIDGE",
            "state": "KS",
            "postal_code": "671077164",
            "telephone_number": "620-387-6639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 E 2ND ST",
            "city": "MOUNDRIDGE",
            "state": "KS",
            "postal_code": "671077164",
            "telephone_number": "620-387-6639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERREL",
        "first_name": "JEANELLE",
        "middle_name": "C",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-29",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "LCPC 714",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moundridge, KS

Sources for this page

Verify at the official NPI Registry.