Individual provider Active NPI

Jack Barnard Silver, LCSW

  • Mental Health Counselor
  • Phoenix, AZ
National Provider Identifier
1063580132
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LCSW10958 Issued in AZ
Practice address
2017 N 7TH St
Phoenix, AZ 85006-2102
Phone
(602) 452-4684
Fax
(602) 358-0399
NPI assigned
Nov 30, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LCSW10958 AZ Primary

Addresses

Primary practice location

2017 N 7TH St
Phoenix, AZ 85006-2102

Mailing address

1506 E Candlestick Dr
Tempe, AZ 85283-2104
Phone (602) 751-9044

Other identifiers 1

IdentifierTypeStateIssuer
LCSW10958OtherAZTHERAPIST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20070621000234 AZ Practitioner - Clinical Social Worker 2163521881 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2033 N 7TH St
Phoenix, AZ 85006-2102
Phone (602) 257-9314

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW10958AZMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family & Children's Service CurrentSince Aug 10, 2007 Accepting new patients
Jewish Family & Children's Service CurrentSince Aug 10, 2007 Accepting new patients
Jewish Family & Children's Service Past Accepting new patients

Locations

5701 W Talavi Blvd
Ste 180
Glendale, AZ 85306
Phone (623) 486-8082

1255 W Baseline Rd
Ste B258
Mesa, AZ 85202
Phone (480) 284-3271

1840 N 95th Ave
Ste 160
Phoenix, AZ 85037
Phone (623) 234-9811

2033 N 7th St
Phoenix, AZ 85006
Phone (602) 257-9314

3001 N 33rd Ave
Phoenix, AZ 85017
Phone (602) 353-0703

4747 N 7th St
Ste 100
Phoenix, AZ 85014
Phone (602) 279-7655

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063580132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 E CANDLESTICK DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852832104",
            "telephone_number": "602-751-9044",
            "fax_number": "866-425-8068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2017 N 7TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062102",
            "telephone_number": "602-452-4684",
            "fax_number": "602-358-0399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVER",
        "first_name": "JACK",
        "middle_name": "BARNARD",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LCSW10958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THERAPIST",
            "identifier": "LCSW10958",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.