JENNIFER L. COUNCELLER NP NPI 1750752853

NPI Information

  • NPI: 1750752853
  • Provider Name: JENNIFER L. COUNCELLER, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1473 E STATE ROAD 44
    WHITEWATER VALLEY PRIMARY CARE
    CONNERSVILLE, IN
    ZIP 47331
  • Phone: (765) 825-8446

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NPI Details

Jennifer L. Counceller, NP is a family nurse practitioner in Connersville, IN with 10 years of experience. Jennifer L. Counceller, NP NPI is 1750752853. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1473 E STATE ROAD 44
WHITEWATER VALLEY PRIMARY CARE
CONNERSVILLE, IN
ZIP 47331-374
Phone: (765) 825-8446
Fax: (765) 827-0013

The NPI 1750752853 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Telephone medical discussion with physician, 11-20 minutes (HCPCS:99442)
  • Hemoglobin a1c level (HCPCS:83036)

The enumeration date for this NPI number is 10/14/2015 and was last updated on 5/13/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily71005873AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10150521MEDICAIDOHIO
2000000965537OTHERANTHEM (REID PHYSICIAN ASSOCIATES, INC.)
3201325910MEDICAIDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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