Individual provider Active NPI

Heather Ann Janvrin, MS

  • Mental Health Counselor
  • Spearfish, SD
National Provider Identifier
1912668112
Registry record updated Jan 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
717 N 5TH St
Spearfish, SD 57783-2048
Phone
(605) 954-2898
Fax
(605) 699-8373
NPI assigned
Jan 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

717 N 5TH St
Spearfish, SD 57783-2048

Mailing address

PO Box 922
Spearfish, SD 57783-0922
Phone (605) 954-2898

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
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
I20240918002251 SD Practitioner - Mental Health Counselor 2961943915 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Enso Mental Health LLCGroup PAC ID 0749651883, 5 clinicians

Practice addresses (Care Compare)

717 N 5TH St
Spearfish, SD 57783-2048
Phone 6055195850100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Enso Mental Health, LLC CurrentSince Sep 12, 2024 Accepting new patients

Locations

717 N 5th St
Spearfish, SD 57783
Phone (605) 519-5850

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": "1641772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1912668112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 922",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577830922",
            "telephone_number": "605-954-2898",
            "fax_number": "605-699-8373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 N 5TH ST",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577832048",
            "telephone_number": "605-954-2898",
            "fax_number": "605-699-8373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANVRIN",
        "first_name": "HEATHER",
        "middle_name": "ANN",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-10",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spearfish, SD

Sources for this page

Verify at the official NPI Registry.