Active NPI
Jennifer Taylor Play Therapy Services LLC
- Community/Behavioral Health Agency
- Cordova, TN
National Provider Identifier
1235537416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 6000
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Taylor, LCSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Social Worker
- Sarasota, FL
- NPI 1568554608
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.