Individual provider Active NPI

Jamie Michelle Andersen, LMFT

  • Marriage & Family Therapist
  • Woodland Park, CO
National Provider Identifier
1013085026
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
555 Issued in CO
Practice address
1067 E US Highway 24 Unit 231
Woodland Park, CO 80863-2120
Phone
(719) 360-0802
Fax
(719) 687-4801
NPI assigned
Nov 30, 2006
Last updated
Dec 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 555 CO Primary

Addresses

Primary practice location

1067 E US Highway 24 Unit 231
Woodland Park, CO 80863-2120

Mailing address

1067 E US Highway 24 Unit 231
Woodland Park, CO 80863-2120
Phone (719) 360-0802

Other identifiers 1

IdentifierTypeStateIssuer
532797MedicaidCO

Other names 1

  • Jamie Michelle Busque Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240603000872 CO Practitioner - Marriage and Family Therapist 3375085608 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1997
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

Woodland Park, CO 80863
Phone (719) 360-0802

1067 E US Hwy 24
Suite 231
Woodland Park, CO 80863-2120

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
555COMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Marriage & Family Therapist Current Accepting new patients
Woodland Counseling Center Marriage & Family Therapist CurrentSince Jan 21, 2024 Accepting new patients

Locations

1067 E US Highway 24
Woodland Park, CO 80863
Phone (719) 360-0802

Interoperability endpoints

  • Direct secure messaging: jamieandersen@tdh.allscriptsdirect.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1013085026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1067 E US HIGHWAY 24 UNIT 231",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808632120",
            "telephone_number": "719-360-0802",
            "fax_number": "719-687-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1067 E US HIGHWAY 24 UNIT 231",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808632120",
            "telephone_number": "719-360-0802",
            "fax_number": "719-687-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSEN",
        "first_name": "JAMIE",
        "middle_name": "MICHELLE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "532797",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "BUSQUE",
            "middle_name": "MICHELLE",
            "credential": "BS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Woodland Park, CO

Sources for this page

Verify at the official NPI Registry.