Individual provider Active NPI

Jennifer Colby, LMSW

  • Social Worker
  • Hays, KS
National Provider Identifier
1013172634
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
7424 Issued in KS
Practice address
208 E 7TH St
Hays, KS 67601-4139
Phone
(785) 628-2871
Fax
(785) 628-0330
NPI assigned
Jul 23, 2008
Last updated
Jun 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Social Worker 104100000X 7424 KS Primary

Addresses

Primary practice location

208 E 7TH St
Hays, KS 67601-4139

Mailing address

206 Southwind PL
Manhattan, KS 66503-3131
Phone (785) 477-4400

Other identifiers 2

IdentifierTypeStateIssuer
7424OtherKSLICENSE NUMBER
69OtherKSLICENSED ADDICTION COUNSELOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130813000358 KS Practitioner - Clinical Social Worker 5193967677 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

206 Southwind PL
Suite 2C
Manhattan, KS 66503-3131
Phone (785) 477-4400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7424KSMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Evergreen Therapy & Wellness CurrentSince Oct 1, 2024 Accepting new patients

Locations

206 Southwind Pl
Ste 2C
Manhattan, KS 66503
Phone (785) 384-8813

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1013172634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 SOUTHWIND PL",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665033131",
            "telephone_number": "785-477-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 E 7TH ST",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676014139",
            "telephone_number": "785-628-2871",
            "fax_number": "785-628-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLBY",
        "first_name": "JENNIFER",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-23",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "7424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "7424",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED ADDICTION COUNSELOR",
            "identifier": "69",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hays, KS

Sources for this page

Verify at the official NPI Registry.