=====================================================
General NPI Number Information
=====================================================
NPI Number | 1699679944
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | JDA LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/07/2026
-----------------------------------------------------
Last Update Date | 10/07/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3601 SW 29TH ST STE 108
-----------------------------------------------------
City | TOPEKA
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 66614-2015
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 785-580-8904
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1911 SW COLLINS AVE
-----------------------------------------------------
City | TOPEKA
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 66604-3222
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 785-580-8904
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CLINICAL SOCIAL WORKER
-----------------------------------------------------
Name | MS. JENNIFER D ANDERSON
-----------------------------------------------------
Credential | LSCSW
-----------------------------------------------------
Telephone | 785-580-8904
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251S00000X
-----------------------------------------------------
Taxonomy Name | Community/Behavioral Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | NULL
-----------------------------------------------------