Individual provider Active NPI

Jessica Faye Schiefelbein I, SWC

  • Professional Counselor
  • Conifer, CO
National Provider Identifier
1750006045
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
SWC.0000000134 Issued in CO
Practice address
12424 Big Timber Dr Unit 3
Conifer, CO 80433-6410
Phone
(720) 722-0122
Fax
(720) 759-3523
NPI assigned
Oct 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X SWC.0000000134 CO Primary

Addresses

Primary practice location

12424 Big Timber Dr Unit 3
Conifer, CO 80433-6410

Mailing address

PO Box 102
Conifer, CO 80433-0102
Phone (720) 722-0122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20230822000609 CO Practitioner - Clinical Social Worker 0648632794 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Conifer Counseling and Therapy ServicesGroup PAC ID 7214398510, 7 clinicians

Practice addresses (Care Compare)

12424 Big Timber Dr
Unit 3
Conifer, CO 80433-6410
Phone (720) 722-0122

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SWC.0000000134COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Conifer Counseling and Therapy Services, Inc Professional CurrentSince Aug 7, 2023 Accepting new patients
Paragon Behavioral Health Connections Past Accepting new patients
Paragon Behavioral Health Connections Professional Past Accepting new patients

Locations

12424 Big Timber Dr
Unit 3
Conifer, CO 80433
Phone (720) 722-0122

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1750006045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102",
            "city": "CONIFER",
            "state": "CO",
            "postal_code": "804330102",
            "telephone_number": "720-722-0122",
            "fax_number": "720-759-3523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12424 BIG TIMBER DR UNIT 3",
            "city": "CONIFER",
            "state": "CO",
            "postal_code": "804336410",
            "telephone_number": "720-722-0122",
            "fax_number": "720-759-3523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHIEFELBEIN",
        "first_name": "JESSICA",
        "middle_name": "FAYE",
        "name_suffix": "I",
        "credential": "SWC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-10",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "SWC.0000000134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conifer, CO

Sources for this page

Verify at the official NPI Registry.