Individual provider Active NPI

Jennifer Schaible, LPCC

  • Professional Counselor
  • Bismarck, ND
National Provider Identifier
1477786416
Registry record updated Apr 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
625-2-1-09-215 Issued in ND
Practice address
1915 N Kavaney Dr
Suite 4
Bismarck, ND 58501-1768
Phone
(701) 255-3325
Fax
(701) 250-6469
NPI assigned
Aug 25, 2009
Last updated
Apr 18, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 625-2-1-09-215 ND Primary

Addresses

Primary practice location

1915 N Kavaney Dr
Suite 4
Bismarck, ND 58501-1768

Mailing address

1915 N Kavaney Dr
Suite 4
Bismarck, ND 58501-1768
Phone (701) 255-3325

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
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
I20250602000719 ND Practitioner - Mental Health Counselor 4981113024 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anchor Christian Counseling, Inc.Group PAC ID 5698200681, 3 clinicians

Practice addresses (Care Compare)

1833 E Bismarck Expy
Suite 2
Bismarck, ND 58504-6745
Phone (701) 255-3325

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Anchor Christian Counseling, Inc. CurrentSince Apr 22, 2025 Accepting new patients
New Possibilities Past Accepting new patients
Discovery Christian Counseling Professional Past Accepting new patients

Locations

1833 E Bismarck Expy
Ste 2
Bismarck, ND 58504
Phone (701) 255-3325

Organizations & group practices 3

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": "1251158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492473600000",
    "number": "1477786416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 N KAVANEY DR",
            "address_2": "SUITE 4",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585011768",
            "telephone_number": "701-255-3325",
            "fax_number": "701-250-6469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 N KAVANEY DR",
            "address_2": "SUITE 4",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585011768",
            "telephone_number": "701-255-3325",
            "fax_number": "701-250-6469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAIBLE",
        "first_name": "JENNIFER",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-25",
        "last_updated": "2017-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ND",
            "license": "625-2-1-09-215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

Verify at the official NPI Registry.