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MRS. JENEVIEVE LYNN WARDELL LPC-S
NPI 1225245483
Counselor - Mental Health in Hernando, MS

Active since May 17, 2007Opted out of Medicare · through Mar 22, 2028
2375 MEMPHIS ST, HERNANDO, MS 38632(662) 506-3836(662) 200-5976 Get Directions Write a Review

NPPES record last updated: January 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Jenevieve Lynn Wardell Lpc-s NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. JENEVIEVE LYNN WARDELL LPC-S (NPI 1225245483) is an individual mental health provider in Hernando, Mississippi, licensed in Mississippi (2757) and active in the NPI registry since May 2007. She has opted out of Medicare through March 22, 2028.

NPPES Registry Identity

NPI1225245483
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. JENEVIEVE LYNN WARDELLCredential: LPC-S
Location Address2375 MEMPHIS STHernando, MS 38632-1756
Mailing Address657 Doe Creek Trl NHernando, MS 38632-5018 · (704) 231-4215
Phone(662) 506-3836
Fax(662) 200-5976
Sole ProprietorYes
Enumeration DateMay 17, 2007
Last NPPES UpdateJanuary 18, 2024
NPPES CertifiedJanuary 18, 2024
✔ NPI 1225245483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in MS · 2757✔ Licensed in NC · 12683
2375 MEMPHIS ST, Hernando, MS 38632
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mrs. Jenevieve Lynn Wardell Lpc-s has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 22, 2024 through March 22, 2028.

Opt-Out Effective DateMarch 22, 2024
Opt-Out In Effect ThroughMarch 22, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. MARCELLA A LEWIS LCSW
Social Worker (Clinical)
2375 MEMPHIS ST, SUITE 208
HERNANDO, MS 38632
Desoto County (901) 230-0622

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 Jenevieve Wardell's NPI number?

The NPI number for Jenevieve Wardell is 1225245483. It was assigned to this individual provider in the NPPES registry on May 17, 2007.

Where is Jenevieve Wardell located?

Jenevieve Wardell practices at 2375 Memphis St, Hernando, MS 38632. The listed phone number is (662) 506-3836.

What is Jenevieve Wardell's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jenevieve Wardell enrolled in Medicare?

No. Jenevieve Wardell has opted out of Medicare through March 22, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jenevieve Wardell was last updated on January 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.