JENNIFER WALLACE EBELING MA, LPC
NPI 1104393040
Counselor - Professional in Saint Louis, MO
About Jennifer Wallace Ebeling Ma, Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNIFER WALLACE EBELING MA, LPC (NPI 1104393040) is an individual professional provider in Saint Louis, Missouri, licensed in Missouri (2017018577) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS and is a graduate of Other (1992).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jennifer Wallace Ebeling Ma, Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jennifer Ebeling reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Saint Louis, MO 63139
- Reassigned Medicare billing, Missouri enrollment
- Also billed through NPI 1801807847 (Missouri)
- 91 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jennifer Ebeling's NPI number?
The NPI number for Jennifer Ebeling is 1104393040. It was assigned to this individual provider in the NPPES registry on October 29, 2018.
Where is Jennifer Ebeling located?
Jennifer Ebeling practices at 1430 Olive St Ste 400, Saint Louis, MO 63103. The listed phone number is (314) 206-3700.
What is Jennifer Ebeling's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Jennifer Ebeling enrolled in Medicare?
Yes. Jennifer Ebeling is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jennifer Ebeling's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Ebeling reassigns Medicare benefits to Bjc Behavioral Health (Saint Louis, MO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jennifer Ebeling's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jennifer Ebeling accept?
Health plans from Oscar Insurance Company list Jennifer Ebeling as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jennifer Ebeling was last updated on September 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jennifer Wallace Ebeling, MA, LPC · NPI 1104393040
Professional provider in Saint Louis, Missouri. Individual provider, active in the CMS NPPES registry since October 29, 2018.
## Identity
- **NPI:** 1104393040 (Entity type: Individual)
- **Enumerated:** October 29, 2018
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 2017018577 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 1430 OLIVE ST STE 400, Saint Louis, MO 63103-2303
- **Phone:** (314) 206-3700
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Bjc Behavioral Health (NPI 1669485868, Saint Louis, MO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1992
## Record status
- **NPPES last updated:** September 29, 2022
- **Other identifiers:** Other 2017018577 (MO)
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Source: [NPI Profile](https://npiprofile.com/npi/1104393040) · Data from the CMS NPPES public registry.