Individual provider Active NPI

Jenna Mossner

  • Clinical Social Worker
  • McFarland, WI
National Provider Identifier
1851080451
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10139 Issued in WI
Practice address
6219 Canyon Pkwy
McFarland, WI 53558-8787
Phone
(317) 645-6959
NPI assigned
May 1, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 34009315A IN
Clinical Social Worker 1041C0700X 10139 WI Primary

Addresses

Primary practice location

6219 Canyon Pkwy
McFarland, WI 53558-8787

Mailing address

6219 Canyon Pkwy
McFarland, WI 53558-8787
Phone (317) 645-6959

Other names 1

  • Ms. Jenna Kiel Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, CT, VT, IN4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20250203000054 WI Practitioner - Clinical Social Worker 2860921004 Reassigns benefits to 1 organization
I20250707003223 CT Practitioner - Clinical Social Worker 2860921004 Reassigns benefits to 1 organization
I20250708002467 VT Practitioner - Clinical Social Worker 2860921004 Reassigns benefits to 1 organization
I20250710000673 IN Practitioner - Clinical Social Worker 2860921004 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Talkspace Provider Network PAGroup PAC ID 5799136701, 249 clinicians

Practice addresses (Care Compare)

4026 S Burrell St
Milwaukee, WI 53207-4404
Phone (561) 221-5696

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34009315AINMDClinical Social Worker
10139WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Talkspace Provider Network PA CurrentSince Jan 1, 2025 Accepting new patients

Locations

2578 Broadway
Ste 607
New York, NY 10025
Phone (304) 308-3735

2578 Broadway
#607
New York, NY 10025
Phone (516) 847-5432

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": "1682899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1851080451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6219 CANYON PKWY",
            "city": "MCFARLAND",
            "state": "WI",
            "postal_code": "535588787",
            "telephone_number": "317-645-6959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6219 CANYON PKWY",
            "city": "MCFARLAND",
            "state": "WI",
            "postal_code": "535588787",
            "telephone_number": "317-645-6959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSSNER",
        "first_name": "JENNA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34009315A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "10139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "KIEL",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in McFarland, WI

Sources for this page

Verify at the official NPI Registry.