Jaylynn Star Graham, PLMHP, PCMSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

220 W 15TH St
Kearney, NE 68845-6763

Phone

(308) 236-0500

NPI assigned

Mar 7, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Midwest Encouragement & Counseling Center LLC

  • Community/Behavioral Health Agency
  • Kearney, NE
  • NPI 1881072445
  NPD

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

{
    "created_epoch": "1551916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1821556903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 W 15TH ST",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688456763",
            "telephone_number": "308-236-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 W 15TH ST",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688456763",
            "telephone_number": "308-236-0500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4211 20th Ave",
            "address_purpose": "LOCATION",
            "city": "Kearney",
            "state": "NE",
            "postal_code": "688458255",
            "country_code": "US",
            "telephone_number": "308-698-8220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1611 C Ave",
            "address_purpose": "LOCATION",
            "city": "Kearney",
            "state": "NE",
            "postal_code": "688476142",
            "country_code": "US",
            "telephone_number": "308-698-8190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "JAYLYNN",
        "middle_name": "STAR",
        "credential": "PLMHP, PCMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-07",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NE",
            "license": "11608",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wade Goodwin, LIMHP
• Hunter Gordon
• Rebecca Lynn Gossett
• Kellie S Gossman, PT, DPT
• Alexandria Graham
• Jessica Leigh Grasz, PLMHP, PCMSW
• Noah Grayek, DSP
• Great Plains Dental Associates, LLP
• Great Plains Radiology LLC
• Susan L Greenwald, MD

• Mental Health Counselor in Kearney, NE
• Providers in Kearney, NE by specialty
• Mental Health Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; 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.