Active NPI
Jordan Lee Selby, LPC, LMAC
- Professional Counselor
- Topeka, KS
National Provider Identifier
1720608318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3239
- Practice address
- 1401 SW Topeka Blvd
Topeka, KS 66612-1818 - Phone
- (785) 260-6688
- Fax
- (785) 408-5485
- NPI assigned
- Apr 23, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 738 | KS | |
| Professional Counselor | 101YP2500X | 3239 | KS | Primary |
Addresses
Primary practice location
1401 SW Topeka Blvd
Topeka, KS 66612-1818
Mailing address
1401 SW Topeka Blvd
Topeka, KS 66612-1818
Phone (785) 260-6688
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 |
|---|---|---|---|
| 3239 | KS | MD | Professional Counselor |
| 738 | KS | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587600000000",
"number": "1720608318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 SW TOPEKA BLVD",
"city": "TOPEKA",
"state": "KS",
"postal_code": "666121818",
"telephone_number": "785-260-6688",
"fax_number": "785-408-5485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 SW TOPEKA BLVD",
"city": "TOPEKA",
"state": "KS",
"postal_code": "666121818",
"telephone_number": "785-260-6688",
"fax_number": "785-408-5485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELBY",
"first_name": "JORDAN",
"middle_name": "LEE",
"credential": "LPC, LMAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-23",
"last_updated": "2020-04-23",
"certification_date": "2020-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "KS",
"license": "738",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KS",
"license": "3239",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Topeka, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.