Active NPI
Jennifer Louise Nelson, MA
- Professional Counselor
- Farmington, MO
National Provider Identifier
1710388079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2026013907
- Practice address
- 1085 Maple St
Farmington, MO 63640-1955 - Phone
- (573) 756-5353
- NPI assigned
- Sep 5, 2014
- Last updated
- May 13, 2026
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2026013907 | MO | Primary |
| Counselor | 101Y00000X | |||
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
1085 Maple St
Farmington, MO 63640-1955
Mailing address
1430 Olive St Ste 400
Saint Louis, MO 63103-2303
Phone (314) 206-3700
Other practice location 1
301 Filmore St
DE Soto, MO 63020-1915
Phone (573) 210-5646
Other practice location 2
7000B S Center Dr
Clearlake, CA 95422-8131
Phone (707) 994-7090 ext. 26137
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2026013907 | MO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778630400000",
"number": "1710388079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1430 OLIVE ST STE 400",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631032303",
"telephone_number": "314-206-3700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1085 MAPLE ST",
"city": "FARMINGTON",
"state": "MO",
"postal_code": "636401955",
"telephone_number": "573-756-5353"
}
],
"practiceLocations": [
{
"address_1": "301 Filmore St",
"address_purpose": "LOCATION",
"city": "DE Soto",
"state": "MO",
"postal_code": "630201915",
"country_code": "US",
"telephone_number": "573-210-5646",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7000B S Center Dr",
"address_purpose": "LOCATION",
"city": "Clearlake",
"state": "CA",
"postal_code": "954228131",
"country_code": "US",
"telephone_number": "707-994-7090 x26137",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NELSON",
"first_name": "JENNIFER",
"middle_name": "LOUISE",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-05",
"last_updated": "2026-05-13",
"certification_date": "2026-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2026013907",
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.