Individual provider Active NPI

Jessica Janis, NCC, LPC

  • Counselor
  • Blue Springs, MO
National Provider Identifier
1457984379
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
2020011801 Issued in MO
Practice address
1203 SW State Route 7
Blue Springs, MO 64014-3539
Phone
(816) 308-0246
Fax
(816) 566-0486
NPI assigned
Feb 19, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X 2020011801 MO Primary

Addresses

Primary practice location

1203 SW State Route 7
Blue Springs, MO 64014-3539

Mailing address

441 NW W Hwy
Kingsville, MO 64061-9117
Phone (816) 308-0246

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL NA Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20250226003345 MO Practitioner - Mental Health Counselor 3678093184 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Country Crossroads Counseling LLCGroup PAC ID 1153850961, 15 clinicians

Practice addresses (Care Compare)

441 NW W Hwy
Kingsville, MO 64061-9117
Phone (816) 308-0246

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Country Crossroads Counseling LLC Counselor CurrentSince Feb 11, 2025 Accepting new patients

Locations

1203 SW State Route 7
Blue Springs, MO 64014
Phone (816) 228-4700

1525 N Highway 7
Ste 201
Pleasant Hill, MO 64080

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1582070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1457984379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 NW W HWY",
            "city": "KINGSVILLE",
            "state": "MO",
            "postal_code": "640619117",
            "telephone_number": "816-308-0246",
            "fax_number": "816-566-0486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 SW STATE ROUTE 7",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640143539",
            "telephone_number": "816-308-0246",
            "fax_number": "816-566-0486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANIS",
        "first_name": "JESSICA",
        "credential": "NCC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-19",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "MO",
            "license": "2020011801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "NA",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "NA",
            "address_1": "441 NW W Hwy",
            "city": "Kingsville",
            "state": "MO",
            "country_code": "US",
            "postal_code": "640619117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Blue Springs, MO

Sources for this page

Verify at the official NPI Registry.