Organization Active NPI

Jennifer Taylor Play Therapy Services LLC

  • Community/Behavioral Health Agency
  • Cordova, TN
National Provider Identifier
1235537416
Registry record updated Dec 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
6000 Issued in TN
Legal business name
JENNIFER TAYLOR PLAY THERAPY SERVICES LLC
Practice address
879 Willow Tree Cir
Suite 102
Cordova, TN 38018-3121
Phone
(901) 579-0242
Fax
(901) 328-6309
NPI assigned
Dec 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2014

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

Authorized official

Name
Jennifer Taylor, LCSWNPI 1568554608
Title
Owner
Phone
(901) 579-0242

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 6000 TN Primary

Addresses

Primary practice location

879 Willow Tree Cir
Suite 102
Cordova, TN 38018-3121

Mailing address

879 Willow Tree Cir
Suite 102
Cordova, TN 38018-3121
Phone (901) 579-0242

National Provider Directory

National Provider Directory

Locations

5763 Rosin Way
Sarasota, FL 34233
Phone (941) 356-2061

879 Willow Tree Cir
Ste 102
Cordova, TN 38018
Phone (901) 579-0242

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1418947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418947200000",
    "number": "1235537416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "879 WILLOW TREE CIR",
            "address_2": "SUITE 102",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380183121",
            "telephone_number": "901-579-0242",
            "fax_number": "901-328-6309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "879 WILLOW TREE CIR",
            "address_2": "SUITE 102",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380183121",
            "telephone_number": "901-579-0242",
            "fax_number": "901-328-6309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER TAYLOR PLAY THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-19",
        "last_updated": "2014-12-19",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-579-0242",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TN",
            "license": "6000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordova, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.

Verify at the official NPI Registry.