Organization Active NPI

Jerrina Gusler Aprn PLLC

Doing business as Renewed Mood

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Elizabethtown, KY
National Provider Identifier
1740989326
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
JERRINA GUSLER APRN PLLC
Doing business as
Renewed Mood
Practice address
107 N Mantle Ave
Elizabethtown, KY 42701-2453
Phone
(502) 565-5660
NPI assigned
Mar 2, 2023
Last updated
Mar 2, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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

Authorized official

Name
Jerrina Gusler, APRNNPI 1073917746
Title
Manager
Phone
(502) 565-5660

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

107 N Mantle Ave
Elizabethtown, KY 42701-2453

Mailing address

107 N Mantle Ave
Elizabethtown, KY 42701-2453

Other identifiers 1

IdentifierTypeStateIssuer
7100345720MedicaidKY

Other names 1

  • Renewed Mood Doing business as

National Provider Directory

National Provider Directory

Locations

107 N Mantle Ave
Elizabethtown, KY 42701
Phone (270) 765-2503

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1677715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677715200000",
    "number": "1740989326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 N MANTLE AVE",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 N MANTLE AVE",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012453",
            "telephone_number": "502-565-5660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRINA GUSLER APRN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-02",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A",
        "authorized_official_last_name": "GUSLER",
        "authorized_official_first_name": "JERRINA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "502-565-5660",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100345720",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renewed Mood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elizabethtown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.