Individual provider Active NPI

Jill L. Janecke, M.S., LPC-MH

  • Mental Health Counselor
  • Fort Pierre, SD
National Provider Identifier
1659515310
Registry record updated Dec 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2181 Issued in SD
Practice address
2214 Levee St
Fort Pierre, SD 57532-2282
Phone
(605) 691-5825
Fax
(605) 494-1501
NPI assigned
Apr 26, 2009
Last updated
Dec 25, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 25, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2181 SD Primary

Addresses

Primary practice location

2214 Levee St
Fort Pierre, SD 57532-2282

Mailing address

412 W Missouri Ave
Pierre, SD 57501-4520
Phone (605) 494-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
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
I20240118002169 SD Practitioner - Mental Health Counselor 2264857630 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rising Hope Counseling, LLCGroup PAC ID 3274958640, 47 clinicians

Practice addresses (Care Compare)

420 S Henry St
Pierre, SD 57501-4515
Phone (605) 494-1500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2181SDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rising Hope Counseling, LLC Mental Health CurrentSince Apr 30, 2009 Accepting new patients
Rising Hope Together, Inc Mental Health CurrentSince Jan 4, 2024 Accepting new patients

Locations

904 E 5th St
Canton, SD 57013
Phone (605) 553-2152

412 W Missouri Ave
Pierre, SD 57501

317 N Heritage Ave
Tea, SD 57064

Organizations & group practices 2

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": "1240704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514160000000",
    "number": "1659515310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 W MISSOURI AVE",
            "city": "PIERRE",
            "state": "SD",
            "postal_code": "575014520",
            "telephone_number": "605-494-1500",
            "fax_number": "605-494-1501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2214 LEVEE ST",
            "city": "FORT PIERRE",
            "state": "SD",
            "postal_code": "575322282",
            "telephone_number": "605-691-5825",
            "fax_number": "605-494-1501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANECKE",
        "first_name": "JILL",
        "middle_name": "L.",
        "credential": "M.S., LPC-MH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-26",
        "last_updated": "2017-12-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SD",
            "license": "2181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierre, SD

Sources for this page

Verify at the official NPI Registry.