JACKIE DEWALD
NPI 1437563160
Counselor - Professional in Clayton, MO

Active since June 20, 2014PECOS EnrolledAccepts Medicare Assignment
8000 BONHOMME AVE STE 210, CLAYTON, MO 63105(314) 269-0004(314) 269-0004 Get Directions Write a Review

NPPES record last updated: October 7, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 7, 2025, Apr 18, 2021 (2 updates tracked since 2021).

About Jackie Dewald NPPES

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

JACKIE DEWALD (NPI 1437563160) is an individual professional provider in Clayton, Missouri, licensed in Missouri (2014034446) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1437563160
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJACKIE DEWALD
Location Address8000 BONHOMME AVE STE 210Clayton, MO 63105-3515
Mailing Address8000 Bonhomme Ave Ste 210Clayton, MO 63105-3515 · (314) 269-0004 · Fax (314) 269-0004
Fax(314) 269-0004
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateJune 20, 2014
Last NPPES UpdateOctober 7, 20252 updates tracked since enumeration
NPPES CertifiedOctober 7, 2025
NPI 1437563160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in MO · 2014034446
8000 BONHOMME AVE STE 210, Clayton, MO 63105

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jackie Dewald is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294183406
PECOS Enrollment IDI20231129001032
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

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

Counselor (Mental Health)
8000 BONHOMME AVE STE 210
CLAYTON, MO 63105

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 Jackie Dewald's NPI number?

The NPI number for Jackie Dewald is 1437563160. It was assigned to this individual provider in the NPPES registry on June 20, 2014.

Where is Jackie Dewald located?

Jackie Dewald practices at 8000 Bonhomme Ave Ste 210, Clayton, MO 63105. The listed phone number is (314) 269-0004.

What is Jackie Dewald's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jackie Dewald enrolled in Medicare?

Yes. Jackie Dewald is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jackie Dewald accept?

Health plans from Medica, Oscar Insurance Company and UnitedHealthcare list Jackie Dewald 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 Jackie Dewald was last updated on October 7, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.