Individual provider Active NPI

Jennifer D Cavin, LPC

  • Professional Counselor
  • Atchison, KS
National Provider Identifier
1083019871
Registry record updated Oct 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2672 Issued in KS
Practice address
104 N 6TH St
Suite 7
Atchison, KS 66002-2416
Phone
(913) 367-0105
Fax
(913) 367-3959
NPI assigned
Oct 23, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2672 KS Primary

Addresses

Primary practice location

104 N 6TH St
Suite 7
Atchison, KS 66002-2416

Mailing address

104 N 6TH St
Suite 7
Atchison, KS 66002-2416
Phone (913) 367-0105

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
I20240624001865 KS Practitioner - Mental Health Counselor 1153864798 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CFCC and Associates, Inc.Group PAC ID 1850446196, 13 clinicians

Practice addresses (Care Compare)

2000 SW Gage Blvd
Topeka, KS 66604-3340
Phone (785) 272-0778

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2672KSMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
CFCC & Associates, Inc. CurrentSince May 22, 2024 Accepting new patients

Locations

501 Kansas Ave
Atchison, KS 66002

500 SW 27th St
Topeka, KS 66611

2000 SW Gage Blvd
Topeka, KS 66604
Phone (888) 383-2322

3102 NW Topeka Blvd
Topeka, KS 66617
Phone (785) 215-6250

Organizations & group practices 2

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": "1414022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414022400000",
    "number": "1083019871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 N 6TH ST",
            "address_2": "SUITE 7",
            "city": "ATCHISON",
            "state": "KS",
            "postal_code": "660022416",
            "telephone_number": "913-367-0105",
            "fax_number": "913-367-3959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 N 6TH ST",
            "address_2": "SUITE 7",
            "city": "ATCHISON",
            "state": "KS",
            "postal_code": "660022416",
            "telephone_number": "913-367-0105",
            "fax_number": "913-367-3959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVIN",
        "first_name": "JENNIFER",
        "middle_name": "D",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-23",
        "last_updated": "2014-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "2672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atchison, KS

Sources for this page

Verify at the official NPI Registry.