Active NPI
Jennifer D Winslow, LPC
- Counselor
- Columbia, MO
National Provider Identifier
1639433683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 2011026182
- Practice address
- 201 N Garth Ave
Columbia, MO 65203-4105 - Phone
- (573) 449-3953
- Fax
- (573) 874-3189
- NPI assigned
- Jun 25, 2012
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 2011026182 | MO | Primary |
Addresses
Primary practice location
201 N Garth Ave
Columbia, MO 65203-4105
Mailing address
201 N Garth Ave
Columbia, MO 65203-4105
Phone (573) 449-3953
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2011026182 | Other | MO | STATE LICENSE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2011026182 | MO | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340582400000",
"number": "1639433683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 N GARTH AVE",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652034105",
"telephone_number": "573-449-3953",
"fax_number": "573-874-3189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 N GARTH AVE",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652034105",
"telephone_number": "573-449-3953",
"fax_number": "573-874-3189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINSLOW",
"first_name": "JENNIFER",
"middle_name": "D",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-25",
"last_updated": "2012-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MO",
"license": "2011026182",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "2011026182",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.