Jennifer T. Basler, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW.00001092 Issued in CO

Practice address

9362 Grand Cordera Pkwy Ste 170
Colorado Springs, CO 80924

Phone

(719) 627-3233

NPI assigned

Jun 9, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

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

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 and National Provider Directory roles.

• Achieve Wellness Counseling and Consulting, LLC

  • Clinical Social Worker
  • Colorado Springs, CO
  • NPI 1720603475
  Medicare reassignment NPD Authorized official
• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442
  Medicare reassignment NPD

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

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612051200000",
    "number": "1689299315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9362 GRAND CORDERA PKWY STE 170",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80924",
            "telephone_number": "719-627-3233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9362 GRAND CORDERA PKWY STE 170",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80924",
            "telephone_number": "719-627-3233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASLER",
        "first_name": "JENNIFER",
        "middle_name": "T.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-09",
        "last_updated": "2021-01-31",
        "certification_date": "2021-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.00001092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO DEPARTMENT OF REGULATORY AGENCIES (DORA)",
            "identifier": "CSW.00001092",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Basgall, RN
• Melinda Bashein, RPH
• Vahid H Bashi, DDS
• Basically Behavior Psychological Assessments and Behavioral Services (Basically Behavior)
• Betul Baskan
• Amanda Bass, RBT
• Darlene Bass
• Jessica Bass
• Sarah Bass, LPCC
• Amy L Bassatt, LPC

• Clinical Social Worker in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.