Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jennifer Wallace Ebeling, MA, LPC

Individual provider Professional Counselor · NPI 1104393040

Jennifer Wallace Ebeling, MA, LPC is a Mental Health Counselor in Saint Louis, Missouri. Qualified in 1992, 34 years ago. Licensed in Missouri.

Years since qualifying
34
Licensed in
MO
In the registry since
2018
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

1430 Olive St Ste 400
Saint Louis, MO 63103-2303
Phone: (314) 206-3700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 2017018577 (MO)

Record details

NPI number1104393040
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , LPC
Sole proprietorNo
NPI enumeratedOctober 29, 2018
Last updated in NPPESSeptember 29, 2022
Certification dateSeptember 29, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Accepts Medicare assignment Not indicated

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