Individual provider Active NPI

Jennifer Wesley

  • Professional Counselor
  • Saint Charles, MO
National Provider Identifier
1790295806
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2016013359 Issued in MO
Practice address
1570 S Main St
Saint Charles, MO 63303-4149
Phone
(636) 224-1000
Fax
(636) 669-1010
NPI assigned
Oct 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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 2016013359 MO Primary

Addresses

Primary practice location

1570 S Main St
Saint Charles, MO 63303-4149

Mailing address

PO Box 8447015
Kansas City, MO 64184-4715
Phone (417) 761-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20240109002230 MO Practitioner - Mental Health Counselor 7214388776 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2016013359MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Family Healthcare, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Preferred Family Healthcare, Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

5620 W Wildwood Ranch Pkwy
Joplin, MO 64804
Phone (417) 623-1900

900 E Laharpe St
Kirksville, MO 63501

1570 S Main St
Saint Charles, MO 63303
Phone (636) 224-1000

4066 Dunnica Ave
Saint Louis, MO 63116
Phone (314) 361-1630

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1506988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1790295806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8447015",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641844715",
            "telephone_number": "417-761-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570 S MAIN ST",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633034149",
            "telephone_number": "636-224-1000",
            "fax_number": "636-669-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESLEY",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-03",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2016013359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Charles, MO

Sources for this page

Verify at the official NPI Registry.