JODI GLAUS PINGEL, LLC
NPI 1790071629
Psychologist - Clinical in Ellisville, MO

Q: What is Jodi Glaus Pingel, LLC's NPI number?

The NPI number for Jodi Glaus Pingel, LLC is 1790071629. It was assigned to this organization in the NPPES registry on June 20, 2011.

Q: What is Jodi Glaus Pingel, LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since June 20, 2011

300 OZARK TRAIL DR, SUITE 217, ELLISVILLE, MO 63011(636) 891-9760(636) 891-9765 Get Directions Write a Review

NPPES record last updated: June 20, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Jodi Glaus Pingel, Llc NPPES

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

JODI GLAUS PINGEL, LLC (NPI 1790071629) is a healthcare organization registered as a clinical in Ellisville, Missouri and active in the NPI registry since June 2011. The organization lists Jodi Glaus Pingel, Clinical Psychologist/owner, as its authorized official.

NPPES Registry Identity

NPI1790071629

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameJODI GLAUS PINGEL, LLC

Location Address300 OZARK TRAIL DR, SUITE 217Ellisville, MO 63011-2166

Mailing Address300 Ozark Trail Dr, Suite 217Ellisville, MO 63011-2166 · (636) 891-9760 · Fax (636) 891-9765

Phone(636) 891-9760

Fax(636) 891-9765

Organization SubpartNo

Authorized OfficialJodi Glaus PingelClinical Psychologist/owner · (636) 891-9760

Enumeration DateJune 20, 2011

✔ NPI 1790071629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in MO · 2003030079

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

300 OZARK TRAIL DR, Ellisville, MO 63011

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jodi Glaus Pingel, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jodi Glaus Pingel, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jodi Pingel, PSY.D.

Clinical Psychologist

NPI 1689737595

300 OZARK TRAIL DRIVE SUITE 217
Ellisville, MO 63011

(636) 891-9760

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Jodi Glaus Pingel, LLC's NPI number?

The NPI number for Jodi Glaus Pingel, LLC is 1790071629. It was assigned to this organization in the NPPES registry on June 20, 2011.

Where is Jodi Glaus Pingel, LLC located?

Jodi Glaus Pingel, LLC is located at 300 Ozark Trail Dr Suite 217, Ellisville, MO 63011. The listed phone number is (636) 891-9760.

What is Jodi Glaus Pingel, LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Jodi Glaus Pingel, LLC enrolled in Medicare?

Yes. Jodi Glaus Pingel, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jodi Glaus Pingel, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Jodi Glaus Pingel, LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jodi Glaus Pingel, LLC was last updated on June 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.