Jennifer Primeaux, M.S., LCPC, NCC, ATR

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2512 Issued in KS

Practice address

9350 E Corporate Hills Dr Unit 780791
Wichita, KS 67278-0100

Phone

(316) 655-1376

NPI assigned

May 13, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Mar 27, 2024 through Mar 27, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Prime Life Counseling, LLC

  • Mental Health Counselor
  • Wichita, KS
  • NPI 1659854081
  NPD Authorized official

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

{
    "created_epoch": "1399939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1457762379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9350 E CORPORATE HILLS DR UNIT 780791",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672780100",
            "telephone_number": "316-655-1376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9350 E CORPORATE HILLS DR UNIT 780791",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672780100",
            "telephone_number": "316-655-1376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIMEAUX",
        "first_name": "JENNIFER",
        "credential": "M.S., LCPC, NCC, ATR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-13",
        "last_updated": "2024-07-24",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "2512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201095050C",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://primelifecounseling.clientsecure.me/",
            "affiliation": "N",
            "endpointDescription": "Simple Practice EHR secure messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9350 E Corporate Hills Dr Unit 780791",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672780100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gaia R Priddle, RPH
• Primary Care Associates, LLC
• Primary Medical Associates Chartered
• Prime Fit Youth Foundation
• Prime Life Counseling, LLC
• Andrea Primm, LMFT
• Rebecca Webster Pringle, DDS
• Priscilla C Nelson
• Grant Pritz
• Private Healthcare Facilities

• All providers in Wichita, KS
• Professional Counselor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.