Jeffrey David Emery

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

201460 Issued in TX

Practice address

100 Chestnut St Ste 101
Abilene, TX 79602-1440

Phone

(325) 676-8963

Fax

(325) 676-2915

NPI assigned

Aug 27, 2012

Last updated

Aug 27, 2012By the provider in NPPES

Sex

Male

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

Opted out of Medicare

Yes, effective Jan 17, 2024 through Jan 17, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mosaic Wellness, LLC

  • Marriage & Family Therapist
  • Abilene, TX
  • NPI 1245886910
  NPD (past) Authorized official

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

{
    "created_epoch": "1346025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346025600000",
    "number": "1225386089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CHESTNUT ST STE 101",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796021440",
            "telephone_number": "325-676-8963",
            "fax_number": "325-676-2915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CHESTNUT ST STE 101",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796021440",
            "telephone_number": "325-676-8963",
            "fax_number": "325-676-2915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMERY",
        "first_name": "JEFFREY",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-27",
        "last_updated": "2012-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "201460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Krysten Elsen
• Ember & Tide Orchard Collective, LLC (Tide & Orchard Counseling)
• Lisa Leanne Embrey
• Eric Darnell Emerson I, RPH
• Kristin Emerson, OT
• Trent E Emmett, M.D.
• Encompass Health Rehabilitation Hospital of Abilene, LLC (Encompass Health Rehabilitation Hospital of Abilene)
• Endocrinology Associates
• Endocrinology Associates (Diabetic Health)
• Endocrinology Associates

• Marriage & Family Therapist in Abilene, TX
• Providers in Abilene, TX by specialty
• Marriage & Family Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.