Active NPI
Griffin Jarzombek, CAC II
- Addiction (Substance Use Disorder) Counselor
- Aspen, CO
National Provider Identifier
1013461482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- ACB.0008067
- Practice address
- 405 Castle Creek Rd
Ste 9
Aspen, CO 81611-3125 - Phone
- (970) 920-5555
- Fax
- (970) 920-5557
- NPI assigned
- Aug 15, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | ACB.0008067 | CO | Primary |
Addresses
Primary practice location
405 Castle Creek Rd
Ste 9
Aspen, CO 81611-3125
Mailing address
Horizon Dr
Suite 225
Grand Junction, COLORADO 81611
UM
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ACB.0008067 | CO | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colorado West Regional Mental Health Inc. | Past | Accepting new patients | |
| Colorado West Regional Mental Health, Inc. | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Aspen, CO
- NPI 1881427979
-
- Professional Counselor
- Grand Junction, CO
- NPI 1275214959
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471219200000",
"number": "1013461482",
"addresses": [
{
"country_code": "UM",
"country_name": "United States Minor Outlying Islands",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "HORIZON DR",
"address_2": "SUITE 225",
"city": "GRAND JUNCTION",
"state": "COLORADO",
"postal_code": "81611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 CASTLE CREEK RD",
"address_2": "STE 9",
"city": "ASPEN",
"state": "CO",
"postal_code": "816113125",
"telephone_number": "970-920-5555",
"fax_number": "970-920-5557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARZOMBEK",
"first_name": "GRIFFIN",
"credential": "CAC II",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-15",
"last_updated": "2016-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CO",
"license": "ACB.0008067",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aspen, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.