Jennifer Ellen Taylor, PLMHP, PLADC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

P-1354 Issued in NE

Practice address

305 Foch St
Gordon, NE 69343-1709

Phone

(308) 282-1101

Fax

(308) 282-1372

NPI assigned

Aug 24, 2016

Last updated

Aug 24, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NE

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

Specialty

Mental Health Counselor

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Inspirit Counseling PCGroup PAC ID 1951832849, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Inspirit Counseling PC

  • Community/Behavioral Health Agency
  • Chadron, NE
  • NPI 1578922001
  Medicare reassignment Care Compare group NPD
• North East Panhandle Substance Abuse Center

  • Substance Abuse Rehabilitation Facility
  • Gordon, NE
  • NPI 1558404640
  NPD (past)

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

{
    "created_epoch": "1471996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471996800000",
    "number": "1295280766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 FOCH ST",
            "address_2": "PO BOX 428",
            "city": "GORDON",
            "state": "NE",
            "postal_code": "693431709",
            "telephone_number": "308-282-1101",
            "fax_number": "308-282-1372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 FOCH ST",
            "city": "GORDON",
            "state": "NE",
            "postal_code": "693431709",
            "telephone_number": "308-282-1101",
            "fax_number": "308-282-1372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "JENNIFER",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "PLMHP, PLADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-24",
        "last_updated": "2016-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NE",
            "license": "P-1354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "470734376-86",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155804640",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Leon Shetler, OD
• Shopko Stores Operating Co LLC (Shopko Pharmacy 212)
• Sylvia Strout
• Ashlei Tausan, RN
• Beatrice V Taylor, DO
• TWK Inc. (Stockmens Drug)
• Valora Valandra
• Michele Vinton
• Brett Weaver, PLADC

• Professional Counselor in Gordon, NE
• Providers in Gordon, NE by specialty
• Professional Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.