Jasmine Conyers

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

1101 E Winter Ave
Danville, IL 61832-2295

Phone

(217) 651-6801

NPI assigned

Sep 16, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Two Roads Wellness Clinic, LLC

  dba Two Roads Wellness Clinic

  • Primary Care Nurse Practitioner
  • Danville, IL
  • NPI 1417329426

  Counselor

  NPD
• Grounded Life Counseling, PLLC

  • Professional Counselor
  • Champaign, IL
  • NPI 1528854940
  NPD (past)

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

{
    "created_epoch": "1600214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1164038055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2511A LEEPER DR",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618226755",
            "telephone_number": "217-512-0617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 E WINTER AVE",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618322295",
            "telephone_number": "217-651-6801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONYERS",
        "first_name": "JASMINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-16",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theodore Joseph Commons, RPH, MS
• Community Living Options Inc (Schultz House)
• Community Research Resource Information and Services for Seniors, Inc. (CRIS Healthy-Aging Center)
• Jessica Comstock, COTA/L
• Brandice Connor, BS
• Donna N. Cook
• Kristen Elizabeth Cooley
• Dorothy Jane Cooney, DDS
• Rachel Cooper, MS, RDN, LDN
• Christine A Cottrell, CRNP

• Counselor in Danville, IL
• Providers in Danville, IL by specialty
• Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.