Jennifer L. Counceller, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71005873A Issued in IN

Practice address

1473 E State Road 44
Whitewater Valley Primary Care
Connersville, IN 47331-8374

Phone

(765) 825-8446

Fax

(765) 827-0013

NPI assigned

Oct 14, 2015

Last updated

May 13, 2021By 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

Other identifiers 3

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cutting Edge Physical Therapy Limited PartnershipGroup PAC ID 6406869163, 109 clinicians

Reid Physician Associates IncGroup PAC ID 6406910769, 427 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Omni Home Care Home health agency, Richmond, IN, CCN 157563
• Reid-Anc Home Care Services LLC Home health agency, Richmond, IN, CCN 157231
• Reid Health Hospital, Richmond, IN, CCN 150048

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jcounceller302021@reidhealth.direct-ci.com

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.

• Reid Physician Associates, Inc.

  dba Reid Health Physician Associates

  • Internal Medicine Physician
  • Richmond, IN
  • NPI 1265689111
  Medicare reassignment Care Compare group NPD
• Cutting Edge Physical Therapy Limited Partnership

  • Physical Therapist
  • Richmond, IN
  • NPI 1497794846
  Care Compare group
• Reid Physician Associates, Inc

  dba Reid Health X-Ray Winchester

  • Radiology Clinic/Center
  • Winchester, IN
  • NPI 1417653221
  NPD
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Home Health Agency Indiana, LLC

  dba Omni Home Care

  • Home Health Agency
  • Richmond, IN
  • NPI 1508850363
  Care Compare affiliation
• Reid Hospital & Health Care Services, Inc

  dba Reid Health

  • General Acute Care Hospital
  • Richmond, IN
  • NPI 1063457380
  Care Compare affiliation
• Reid-Anc Home Care Services, LLC

  dba Reid Home Health

  • Home Health Agency
  • Richmond, IN
  • NPI 1669466199
  Care Compare affiliation

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

{
    "created_epoch": "1444780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1750752853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 REID PKWY",
            "address_2": "MEDICAL STAFF SERVICES",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741157",
            "telephone_number": "765-825-8446",
            "fax_number": "765-827-0013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1473 E STATE ROAD 44",
            "address_2": "WHITEWATER VALLEY PRIMARY CARE",
            "city": "CONNERSVILLE",
            "state": "IN",
            "postal_code": "473318374",
            "telephone_number": "765-825-8446",
            "fax_number": "765-827-0013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUNCELLER",
        "first_name": "JENNIFER",
        "middle_name": "L.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-14",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71005873A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM (REID PHYSICIAN ASSOCIATES, INC.)",
            "identifier": "000000965537",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201325910",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0150521",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jcounceller302021@ReidHealth.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Reid Physician Associates, Inc.",
            "address_1": "1473 E State Road 44",
            "address_2": "Whitewater Valley Primary Care",
            "city": "Connersville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473318374",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amy Jean Collins, LCSW
• Connersville OBGYN Inc
• Connersville Pharmacy LLC (MediCenter Pharmacy)
• Connersville Surgeons Inc
• Connorsville Emergency Group PC
• Jeffrey S Coy, CNS-BC
• Creative Counseling Services
• Creative Life Concepts LLC
• CRF First Choice, Inc.
• Crossroads Healing Center LLC

• Family Nurse Practitioner in Connersville, IN
• Providers in Connersville, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.