Jennifer Beechler
Individual provider Active NPI Counselor · Edwardsville, IL
NPI 1699469205 · NPPES record last updated Jun 6, 2023
Key facts
- NPI
- 1699469205
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- 2023015175 (MO)
- Practice address
- 3424 Hartzel Rd
Edwardsville, IL 62025-7501 - Phone
- (618) 406-9856
- NPI assigned
- Jun 6, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Amanda L Woollard Ma LPC, LLC
Practice addresses (Care Compare)
230 Regency Ctr
Collinsville, IL 62234-4635
Phone (314) 730-6787
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251015000992 | IL | Practitioner - Mental Health Counselor | 5597252361 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2023015175 | MO | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Root and Rise Therapy Services PLLC | Counselor | Current |
Accepting new patients |
| Amanda L Woollard Ma LPC, LLC | Current |
Accepting new patients |
Locations
230 Regency Ctr
Collinsville, IL 62234
Phone (314) 730-6787
4121 Union Rd
Ste 225
Saint Louis, MO 63129
Phone (314) 730-6787
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 2023015175 | MO | Yes |
Addresses
Primary practice location
3424 Hartzel Rd
Edwardsville, IL 62025-7501
Mailing address
3424 Hartzel Rd
Edwardsville, IL 62025-7501
Phone (618) 406-9856
Other providers in Edwardsville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 6, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.