Active NPI
Jennifer Taylor-Ide, LPC
- Professional Counselor
- Franklin, WV
National Provider Identifier
1386655975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 314 Pine Street
Pendelton Community Care
Franklin, WV 26807-0100 - Phone
- (304) 358-2355
- Fax
- (304) 358-3054
- NPI assigned
- Aug 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
314 Pine Street
Pendelton Community Care
Franklin, WV 26807-0100
Mailing address
PO Box 100
Franklin, WV 26807-0100
Phone (304) 358-2355
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206576000000",
"number": "1386655975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 100",
"city": "FRANKLIN",
"state": "WV",
"postal_code": "268070100",
"telephone_number": "304-358-2355",
"fax_number": "304-358-3054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "314 PINE STREET",
"address_2": "PENDELTON COMMUNITY CARE",
"city": "FRANKLIN",
"state": "WV",
"postal_code": "268070100",
"telephone_number": "304-358-2355",
"fax_number": "304-358-3054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR-IDE",
"first_name": "JENNIFER",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-10",
"last_updated": "2008-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Franklin, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.