Individual provider Active NPI

Jennifer Christine Harris

  • Clinical Social Worker
  • Grand Junction, CO
National Provider Identifier
1023642584
Registry record updated Apr 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
121 W Rood Ave
Grand Junction, CO 81501-5820
Phone
(970) 424-8754
NPI assigned
Feb 24, 2020
Last updated
Apr 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

121 W Rood Ave
Grand Junction, CO 81501-5820

Mailing address

PO Box 4878
Grand Junction, CO 81502-4878

Other practice location 1

40801 Highway 6
Eagle River Business Center Office #203
Vail, CO 81657
Phone (970) 424-8754

Other practice location 2

136 E 12th St
Rifle, CO 81650-3560
Phone (970) 424-8754

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Apt Services & Consulting Clinical CurrentSince Mar 1, 2020 Accepting new patients

Locations

136 E 12th St
Rifle, CO 81650
Phone (970) 424-8754

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": "1582502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587600000000",
    "number": "1023642584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4878",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815024878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 W ROOD AVE",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815015820",
            "telephone_number": "970-424-8754"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40801 Highway 6",
            "address_2": "Eagle River Business Center Office #203",
            "address_purpose": "LOCATION",
            "city": "Vail",
            "state": "CO",
            "postal_code": "81657",
            "country_code": "US",
            "telephone_number": "970-424-8754",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "136 E 12th St",
            "address_purpose": "LOCATION",
            "city": "Rifle",
            "state": "CO",
            "postal_code": "816503560",
            "country_code": "US",
            "telephone_number": "970-424-8754",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "JENNIFER",
        "middle_name": "CHRISTINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-24",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.