Individual provider Active NPI

Terry Janelle, LPCC

  • Professional Counselor
  • Owensboro, KY
National Provider Identifier
1497179931
Registry record updated Jun 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
103832 Issued in KY
Practice address
1727 Sweeney St Ste 102
Owensboro, KY 42303-3834
Phone
(270) 231-9548
NPI assigned
Feb 4, 2014
Last updated
Jun 10, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2020

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 1596 KY
Professional Counselor 101YP2500X 103832 KY Primary

Addresses

Primary practice location

1727 Sweeney St Ste 102
Owensboro, KY 42303-3834

Mailing address

117 E 18TH St # 141
Owensboro, KY 42303-3752
Phone (270) 313-2988

Other identifiers 1

IdentifierTypeStateIssuer
7100276810MedicaidKY

Other names 1

  • Terry Janelle Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20240214001982 KY Practitioner - Mental Health Counselor 4183075682 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

Practice addresses (Care Compare)

1727 Sweeney St
Suite 102
Owensboro, KY 42303-3834
Phone (270) 231-9548

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
103832KYMDProfessional Counselor
1596KYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Behavioral Health and Alternative Healing Arts, LLC CurrentSince Dec 26, 2023 Accepting new patients
Family Options, Inc Past Accepting new patients
Family Options Inc Professional PastSince Sep 1, 2014 Accepting new patients

Locations

915 Main St
Ste 606
Evansville, IN 47708

117 E 18th St
Owensboro, KY 42303
Phone (270) 316-0533

1727 Sweeney St
Ste 102
Owensboro, KY 42303
Phone (270) 231-9548

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": "1391472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591747200000",
    "number": "1497179931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 E 18TH ST # 141",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423033752",
            "telephone_number": "270-313-2988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1727 SWEENEY ST STE 102",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423033834",
            "telephone_number": "270-231-9548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANELLE",
        "first_name": "TERRY",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-04",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "1596",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "103832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100276810",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERRY",
            "last_name": "JANELLE",
            "credential": "LPCC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Owensboro, KY

Sources for this page

Verify at the official NPI Registry.