Individual provider Active NPI

Michelle Lynn Jagels, LPC

  • Professional Counselor
  • Saint Charles, MO
National Provider Identifier
1841501715
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2010019094 Issued in MO
Practice address
200 S Kingshighway St
Suite 200
Saint Charles, MO 63301-1637
Phone
(636) 949-2650
Fax
(636) 949-2650
NPI assigned
Jun 25, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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 2010019094 MO Primary

Addresses

Primary practice location

200 S Kingshighway St
Suite 200
Saint Charles, MO 63301-1637

Mailing address

200 S Kingshighway St
Suite 200
Saint Charles, MO 63301-1637
Phone (636) 949-2650

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
I20240320001996 MO Practitioner - Mental Health Counselor 7113059452 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Mental Health, IncGroup PAC ID 0244283919, 3 clinicians

Practice addresses (Care Compare)

200 S Kingshighway St
Suite 200
Saint Charles, MO 63301-1637
Phone (636) 949-2650

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2010019094MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Mental Health, Inc CurrentSince Feb 13, 2024 Accepting new patients

Locations

200 S Kingshighway St
Ste 200
Saint Charles, MO 63301
Phone (636) 949-2650

Organizations & group practices 1

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": "1277424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1841501715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S KINGSHIGHWAY ST",
            "address_2": "SUITE 200",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633011637",
            "telephone_number": "636-949-2650",
            "fax_number": "636-949-2650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S KINGSHIGHWAY ST",
            "address_2": "SUITE 200",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633011637",
            "telephone_number": "636-949-2650",
            "fax_number": "636-949-2650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAGELS",
        "first_name": "MICHELLE",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-25",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2010019094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Charles, MO

Sources for this page

Verify at the official NPI Registry.