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Jacquelynne Kell

Counselor β€’ Springfield, MO

Active NPI 1093125650 Individual Practitioner Female Practitioner
Practice location in NPPES

629 W Walnut St
Springfield, MO 658062045

Call 4174092054 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

629 W Walnut St

Springfield, MO 658062045

Telephone 4174092054
Organization at the Same NPPES Address or Phone
The Gestalt House Llc Facility NPI 1902752389

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Gaithersburg, MD. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2014

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Springfield and Missouri

85 active clinicians are listed under Counselor with a practice address in Springfield, MO (1,069 in Missouri).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Springfield

0% of these 85 clinicians have the CMS telehealth indicator.

1.2% of these 85 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-03-16
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

License # reported to NPPES MO 2015044822

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Missouri Board of Registration for the Healing Arts.
Look Up on State Board Site

Secondary Practice Locations

16220 Frederick Rd, Suite 310

Gaithersburg, MD 208774039

Phone: 3013451022

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location March 16, 2022

Registered at 629 W WALNUT ST, SPRINGFIELD, MO 658062045 (Tel: 4174092054)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 16, 2022

Counselor (license number reported to NPPES: MO 2015044822)

βœ…
NPI Profile Active May 05, 2014

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 05, 2014

Registered at 16220 FREDERICK RD, SUITE 310, GAITHERSBURG, MD 208774039 (Tel: 3013451022)

πŸ“
Business Mailing Address (Initial Record) May 05, 2014

Registered at 16220 FREDERICK RD, SUITE 310, GAITHERSBURG, MD 208774039 (Tel: 3013451022)

πŸ‘€
Provider Name / Credentials (Initial Record) May 05, 2014

Recorded as JACQUELYNNE KELL

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 05, 2014

Counselor (license number reported to NPPES: MD LGP5540)

🟒
Initial NPI Registration & Enumeration May 05, 2014

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1093125650
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 05, 2014
Last Update: March 16, 2022
Sole Proprietor: Yes

Mailing Address

16220 Frederick Rd, Suite 310

Gaithersburg, MD 208774039

Phone: 3013451022

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.