Jodi Leeann Bane, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

73224 Issued in TX

Practice address

112 Wigley St
Mineola, TX 75773-2138

Phone

(903) 780-4488

NPI assigned

Jun 23, 2020

Last updated

Jun 23, 2020By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Mar 8, 2024 through Mar 8, 2028

Medicare enrollment (NPD)

Not 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.

• Helping Hand Counseling and Trauma Recovery, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mineola, TX
  • NPI 1679331342
  NPD Authorized official

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1629694823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 WIGLEY ST",
            "city": "MINEOLA",
            "state": "TX",
            "postal_code": "757732138",
            "telephone_number": "903-780-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 WIGLEY ST",
            "city": "MINEOLA",
            "state": "TX",
            "postal_code": "757732138",
            "telephone_number": "903-780-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANE",
        "first_name": "JODI",
        "middle_name": "LEEANN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-23",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "73224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A Nutrient in Time
• Jacob Miller Allen, DDS
• Autumn Wind
• Diana Bankhead, MD
• Amber Barnes
• Bluebonnet Hospice of East Texas Inc
• Lauren Grace Bohannan, BSN, RN, IBCLC
• Brookshire Grocery Company (Brookshires Pharmacy)

• Professional Counselor in Mineola, TX
• Providers in Mineola, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.