Individual provider Active NPI

Jacqueline Pyle, LPC, LBSW

  • Professional Counselor
  • Battle Creek, MI
National Provider Identifier
1831572825
Registry record updated Jul 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401009580 Issued in MI
Practice address
491 Columbia Ave E Ste 4
Battle Creek, MI 49014-5468
Phone
(269) 962-9611
Fax
(269) 962-9612
NPI assigned
Jul 8, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2020

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 6401009580 MI Primary

Addresses

Primary practice location

491 Columbia Ave E Ste 4
Battle Creek, MI 49014-5468

Mailing address

491 Columbia Ave E Ste 4
Battle Creek, MI 49014-5468
Phone (269) 962-9611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20241115002839 MI Practitioner - Mental Health Counselor 1052845849 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2004
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

491 Columbia Ave E
Suite 4
Battle Creek, MI 49014-5468

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Avalon Behavioral Health, PLC Past Accepting new patients

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": "1436313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594857600000",
    "number": "1831572825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "491 COLUMBIA AVE E STE 4",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490145468",
            "telephone_number": "269-962-9611",
            "fax_number": "269-962-9612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 COLUMBIA AVE E STE 4",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490145468",
            "telephone_number": "269-962-9611",
            "fax_number": "269-962-9612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PYLE",
        "first_name": "JACQUELINE",
        "name_prefix": "Mrs.",
        "credential": "LPC, LBSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-08",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401009580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

Verify at the official NPI Registry.