Active NPI
Jerrina Gusler Aprn PLLC
Doing business as Renewed Mood
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Elizabethtown, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jerrina Gusler, APRN
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100345720 | Medicaid | KY |
Other names 1
- Renewed Mood
National Provider Directory
National Provider DirectoryLocations
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Elizabethtown, KY
- NPI 1073917746
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
- Jefferson Newbern, DMD, PLLC (Aspen Dental)
- Jeffrey B. Richardson, M.D., P.S.C.
- Christopher G Jenkins, APRN
- Shelby Ann Jenkins
- Amy Dennis Jennings
- Lindsay Jewell, PTA
- Rachel Jewell, LPCC
- Jewish Hospital & St. Mary's Healthcare, Inc. (Frazier Rehab Institute Elizabethtown)
- JG Connections Inc.
- Kimberly Merkley Jiranek, D.M.D
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.