Jessica Hunolt, PLCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2010017971 Issued in MO

Practice address

105 Pfeiffer Ave
Kirksville, MO 63501-5047

Phone

(660) 665-4612

NPI assigned

Jun 21, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mark Twain Association for Mental Health, Inc.

  • Community/Behavioral Health Agency
  • Hannibal, MO
  • NPI 1700933363
  Medicare reassignment NPD
• Mark Twain Association for Mental Health, Inc

  • Community/Behavioral Health Agency
  • Hannibal, MO
  • NPI 1104368703
  NPD

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

{
    "created_epoch": "1277078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277078400000",
    "number": "1851612295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 BROADWAY",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634014200",
            "telephone_number": "573-221-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 PFEIFFER AVE",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635015047",
            "telephone_number": "660-665-4612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNOLT",
        "first_name": "JESSICA",
        "credential": "PLCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-21",
        "last_updated": "2010-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2010017971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chase Edward Howerton
• Shelly Howerton, PTA
• Stacie K. Hudson, OTR/L
• Jamie Lynn Huffman, LPC
• Vanessa Huffmon
• J. Paul Hunt, PH.D.
• Hattie Hunter
• Carla K Hustead, LCSW
• Suejeong Hwang
• Hy-Vee Inc

• Clinical Social Worker in Kirksville, MO
• Providers in Kirksville, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.