Individual provider Active NPI

Gemma Christie Taylor, LCSW

  • Clinical Social Worker
  • Frisco, CO
National Provider Identifier
1154715837
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1306 Issued in CO
Practice address
610 Main St Ste 13
Frisco, CO 80443-5487
Phone
(720) 273-9999
Fax
(970) 572-9624
NPI assigned
Mar 20, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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 1306 CO Primary

Addresses

Primary practice location

610 Main St Ste 13
Frisco, CO 80443-5487

Mailing address

715 Horizon Dr
Ste 225
Grand Junction, CO 81506-8700
Phone (970) 683-7107

Other names 1

  • Gemma Christie McDonald Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gemma@summitplaytherapy.health

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20150825005335 CO Practitioner - Clinical Social Worker 3971819657 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1306COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Play Therapy LLC Clinical Current Accepting new patients
Summit Community Care Clinic, Inc. CurrentSince Nov 14, 2018 Accepting new patients
Summit Community Care Clinic, Inc. CurrentSince Nov 14, 2018 Accepting new patients

Locations

360 Peak One Dr
Ste 110
Frisco, CO 80443
Phone (970) 668-3478

360 Peak One Dr
Ste 100
Frisco, CO 80443
Phone (970) 423-4001

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1426809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1154715837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 HORIZON DR",
            "address_2": "STE 225",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815068700",
            "telephone_number": "970-683-7107",
            "fax_number": "970-683-7167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 MAIN ST STE 13",
            "city": "FRISCO",
            "state": "CO",
            "postal_code": "804435487",
            "telephone_number": "720-273-9999",
            "fax_number": "970-572-9624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "GEMMA",
        "middle_name": "CHRISTIE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-20",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "1306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gemma@summitplaytherapy.health",
            "affiliation": "N",
            "address_1": "610 Main St Ste 13",
            "city": "Frisco",
            "state": "CO",
            "country_code": "US",
            "postal_code": "804435487",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "GEMMA",
            "last_name": "MCDONALD",
            "middle_name": "CHRISTIE",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Frisco, CO

Sources for this page

Verify at the official NPI Registry.