Andrew Jecklin, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

0024191181 Issued in VA

Practice address

356 S Main St
Harrisonburg, VA 22801-3628

Phone

(540) 918-0118

NPI assigned

Oct 17, 2014

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

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.

• Stillpoint Integrative Psychiatry and Wellness, LLC

  • Psychiatry Physician
  • Harrisonburg, VA
  • NPI 1104643220
  NPD Authorized official

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

{
    "created_epoch": "1413504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1992109060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "356 S MAIN ST",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228013628",
            "telephone_number": "540-918-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "356 S MAIN ST",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228013628",
            "telephone_number": "540-918-0118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JECKLIN",
        "first_name": "ANDREW",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-17",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024191181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donielle C. D. Janow, PSY.D.
• Bonita Hertzler Jantzi, LCSW
• Ignaz Roy Jarbadan, M.D.
• Molly Marie Jarrels, PA-C
• Hannah Pellegrino Jarrett
• Rachel L Jecklin, LPC
• Misty Jefferson
• Jeffery B Kesecker DDS PLC
• Jamie Parlett Jenkins, CNM
• Judith Dale Jenkins, PT

• Psychiatric/Mental Health Nurse Practitioner in Harrisonburg, VA
• Providers in Harrisonburg, VA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; 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.