Individual provider Active NPI

Jenna Powell, M.ED, LPC

  • Counselor
  • Saint Charles, MO
National Provider Identifier
1629599238
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
13 Droste SQ
Saint Charles, MO 63301-4819
Phone
(636) 519-4107
NPI assigned
Jul 5, 2017
Last updated
Aug 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 178.013336 IL
Mental Health Counselor 101YM0800X 178.013336 IL
Professional Counselor 101YP2500X 2017013015 MO
Professional Counselor 101YP2500X 180.012982 MO
Counselor 101Y00000X Primary

Addresses

Primary practice location

13 Droste SQ
Saint Charles, MO 63301-4819

Mailing address

13 Droste SQ
Saint Charles, MO 63301-4819
Phone (636) 519-4107

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
178.013336ILMDCounselor
180.012982MOMDProfessional Counselor
2017013015MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Road Less Traveled Counseling Services LLC Mental Health CurrentSince Sep 11, 2022 Accepting new patients

Locations

13 Droste Sq
Saint Charles, MO 63301
Phone (636) 519-4107

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, 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": "1499212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1629599238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 DROSTE SQ",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633014819",
            "telephone_number": "636-519-4107",
            "fax_number": "636-206-2876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 DROSTE SQ",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633014819",
            "telephone_number": "636-519-4107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "JENNA",
        "credential": "M.ED, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-05",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "178.013336",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.013336",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2017013015",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "180.012982",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Charles, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.