Dana Dayle Jessup, LSCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3142 Issued in KS

Practice address

17821 78TH St
MC Louth, KS 66054-5091

Phone

(785) 742-7113

Fax

(785) 742-3085

NPI assigned

Jul 10, 2006

Last updated

Feb 14, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KS, ID2 enrollments

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 2

Specialty

Clinical Social Worker

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Access Behavioral Health ServicesGroup PAC ID 5991860413, 32 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Access Behavioral Health Services

  • Community/Behavioral Health Agency
  • Boise, ID
  • NPI 1487700589
  Medicare reassignment Care Compare group NPD
• Access Behavioral Health Services, Inc

  • Primary Care Clinic/Center
  • Boise, ID
  • NPI 1932506508
  NPD
• Kanza Mental Health and Guidance Center, Inc.

  • Social Worker
  • Hiawatha, KS
  • NPI 1619909181
  NPD (past)
• John T Bopp PC

  dba Beheavioral Health Partners

  • Clinical Psychologist
  • Kansas City, MO
  • NPI 1447292180
  NPD (past)

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487030400000",
    "number": "1508890146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17821 78TH ST",
            "city": "MC LOUTH",
            "state": "KS",
            "postal_code": "660545091",
            "telephone_number": "785-742-7113",
            "fax_number": "785-742-3085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17821 78TH ST",
            "city": "MC LOUTH",
            "state": "KS",
            "postal_code": "660545091",
            "telephone_number": "785-742-7113",
            "fax_number": "785-742-3085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JESSUP",
        "first_name": "DANA",
        "middle_name": "DAYLE",
        "credential": "LSCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2017-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KS",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "3142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Leigh Carleton
• Genesis Danielle Claypool
• Danielle Lee Hermann
• Nancy Ann Hermreck, MSW, LSCSW, ACSW
• Colton A. Koch
• Lawrence Memorial Hospital (McLouth Medical Clinic)
• Lawrence Physicians LLC (LMH Health Primary Care - McLouth)
• McLouth Medical Clinic
• McLouth Usd342

• Clinical Social Worker in McLouth, KS
• Providers in McLouth, KS by specialty
• Clinical Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; 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.