Organization Active NPI

Jenna Rose, Inc.

  • Mental Health Counselor
  • Greeley, CO
National Provider Identifier
1003036534
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
NLC-6686 Issued in CO
Legal business name
JENNA ROSE, INC.
Practice address
804 11TH Ave
Greeley, CO 80631-3246
Phone
(970) 518-5757
NPI assigned
Apr 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Christina H. Hiratzka, M.A., N.C.C.
Title
Director
Phone
(970) 518-5757

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X NLC-6686 CO Primary

Addresses

Primary practice location

804 11TH Ave
Greeley, CO 80631-3246

Mailing address

7205 Poudre River Rd Unit 3
Greeley, CO 80634-9375
Phone (970) 518-5757

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003036534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7205 POUDRE RIVER RD UNIT 3",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806349375",
            "telephone_number": "970-518-5757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 11TH AVE",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806313246",
            "telephone_number": "970-518-5757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNA ROSE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HIRATZKA",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "970-518-5757",
        "authorized_official_credential": "M.A., N.C.C."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "NLC-6686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.