Janise Gildehaus

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

102 E Springfield Ave Ste 202
Union, MO 63084-1818

Phone

(362) 221-4916

NPI assigned

Mar 23, 2019

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

Electronic endpoints 1

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

Specialty

Mental Health Counselor

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Lenz LPC LLC

  • Professional Counselor
  • Saint Louis, MO
  • NPI 1700467776
  Medicare reassignment NPD (past)

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

{
    "created_epoch": "1553299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553299200000",
    "number": "1497215651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 E SPRINGFIELD AVE STE 202",
            "city": "UNION",
            "state": "MO",
            "postal_code": "630841818",
            "telephone_number": "362-221-4916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 E SPRINGFIELD AVE STE 202",
            "city": "UNION",
            "state": "MO",
            "postal_code": "630841818",
            "telephone_number": "362-221-4916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILDEHAUS",
        "first_name": "JANISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-23",
        "last_updated": "2019-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "@ccstl.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "102 E Springfield Ave Ste 202",
            "city": "Union",
            "state": "MO",
            "country_code": "US",
            "postal_code": "630841818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Emily Geiser, PA
• Genoa Healthcare LLC
• Chase Gerlemann
• Melissa Avampato Giebler, PLPC
• Holle E. Gilbert, PTA
• Christi D Gills, LPC
• Jenifer K Goers, MA, PLPC
• Megan Elizabeth Goss, D.C.
• Myrna Ivelisse Gover Havener, M.D.
• Grace'S Place, Inc.

• Counselor in Union, MO
• Providers in Union, MO by specialty
• Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.