Individual provider Active NPI

Jennifer Elizabeth Ayers, LCSW

  • Clinical Social Worker
  • Colorado Springs, CO
National Provider Identifier
1336704949
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09926378 Issued in CO
Practice address
6275 Hemmingway Rd
Colorado Springs, CO 80928-9301
Phone
(203) 456-5929
NPI assigned
May 8, 2019
Last updated
Jan 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 10513 CT
Clinical Social Worker 1041C0700X 084543 NY
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X CSW.09926378 CO Primary
Clinical Social Worker 1041C0700X 1336704949 CO

Addresses

Primary practice location

6275 Hemmingway Rd
Colorado Springs, CO 80928-9301

Mailing address

6275 Hemmingway Rd
Colorado Springs, CO 80928-9301
Phone (845) 476-6240

Other practice location 1

116 Mile Common Rd
Easton, CT 06612-1506
Phone (203) 526-3215

Other practice location 2

111 New Haven Ave
Derby, CT 06418-2197
Phone (845) 670-8323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190918001622 CT Practitioner - Clinical Social Worker 7315277373 Reassigns benefits to 1 organization
I20250318000943 CO Practitioner - Clinical Social Worker 7315277373 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1336704949COMDClinical Social Worker
10513CTMDClinical Social Worker
084543NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jchatscounseling,LLC Clinical CurrentSince Feb 21, 2022 Accepting new patients

Locations

4 Research Dr
Ste 402
Shelton, CT 06484
Phone (203) 293-9300

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1557273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1336704949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6275 HEMMINGWAY RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809289301",
            "telephone_number": "845-476-6240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6275 HEMMINGWAY RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809289301",
            "telephone_number": "203-456-5929"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "116 Mile Common Rd",
            "address_purpose": "LOCATION",
            "city": "Easton",
            "state": "CT",
            "postal_code": "066121506",
            "country_code": "US",
            "telephone_number": "203-526-3215",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 New Haven Ave",
            "address_purpose": "LOCATION",
            "city": "Derby",
            "state": "CT",
            "postal_code": "064182197",
            "country_code": "US",
            "telephone_number": "845-670-8323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AYERS",
        "first_name": "JENNIFER",
        "middle_name": "ELIZABETH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-08",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "10513",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "084543",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09926378",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "1336704949",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.