Individual provider Active NPI

Jayme E Gillund, LPC

  • Professional Counselor
  • Emporia, KS
National Provider Identifier
1649315482
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
888 Issued in KS
Practice address
1000 Lincoln St
Emporia, KS 66801-2449
Phone
(620) 343-2211
Fax
(620) 342-1021
NPI assigned
Feb 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 888 KS Primary

Addresses

Primary practice location

1000 Lincoln St
Emporia, KS 66801-2449

Mailing address

1000 Lincoln St
Emporia, KS 66801-2449
Phone (620) 343-2211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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

Enrollment IDStateProvider typePAC IDDetails
I20240917002090 KS Practitioner - Mental Health Counselor 5890235055 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
888KSMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Joshua Tree Wellness Center LLC Professional CurrentSince Aug 5, 2024 Accepting new patients

Locations

726 Commercial St
Ste B
Emporia, KS 66801
Phone (620) 208-7990

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649315482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 LINCOLN ST",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668012449",
            "telephone_number": "620-343-2211",
            "fax_number": "620-342-1021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 LINCOLN ST",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668012449",
            "telephone_number": "620-343-2211",
            "fax_number": "620-342-1021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLUND",
        "first_name": "JAYME",
        "middle_name": "E",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Emporia, KS

Sources for this page

Verify at the official NPI Registry.