Active NPI
Jennifer D. Trowbridge, LAC
- Addiction (Substance Use Disorder) Counselor
- Olathe, KS
National Provider Identifier
1134546971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 279
- Practice address
- 115 N Cooper St
Olathe, KS 66061-3434 - Phone
- (913) 780-9600
- Fax
- (913) 273-0720
- NPI assigned
- Mar 18, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 279 | KS | Primary |
Addresses
Primary practice location
115 N Cooper St
Olathe, KS 66061-3434
Mailing address
115 N Cooper St
Olathe, KS 66061-3434
Phone (913) 780-9600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2004408400A | Medicaid | KS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 279 | KS | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avenues to Recovery | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Olathe, KS
- NPI 1598809006
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395100800000",
"number": "1134546971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 N COOPER ST",
"city": "OLATHE",
"state": "KS",
"postal_code": "660613434",
"telephone_number": "913-780-9600",
"fax_number": "913-273-0720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 N COOPER ST",
"city": "OLATHE",
"state": "KS",
"postal_code": "660613434",
"telephone_number": "913-780-9600",
"fax_number": "913-273-0720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TROWBRIDGE",
"first_name": "JENNIFER",
"middle_name": "D.",
"credential": "LAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-18",
"last_updated": "2014-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "KS",
"license": "279",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2004408400A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Olathe, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.