Individual provider Active NPI

Jonathan Carr

  • Professional Counselor
  • Centennial, CO
National Provider Identifier
1013497221
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
17633 Issued in CO
Practice address
7173 S Havana St Ste 100
Centennial, CO 80112-3892
Phone
(720) 314-8031
NPI assigned
Aug 16, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 17633 CO Primary

Addresses

Primary practice location

7173 S Havana St Ste 100
Centennial, CO 80112-3892

Mailing address

116 Inverness Dr E Ste 105
Englewood, CO 80112-5125
Phone (303) 730-8858

Other practice location 1

6509 S Santa Fe Dr
Littleton, CO 80120-2910
Phone (303) 730-8858

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
I20241030003242 CO Practitioner - Mental Health Counselor 6507399474 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17633COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Arapahoe Mental Health Center, Inc Current Accepting new patients
Arapahoe Mental Health Center, Inc CurrentSince Oct 21, 2024 Accepting new patients
Arapahoe Mental Health Center, Inc CurrentSince Oct 21, 2024 Accepting new patients
Rally Point Counseling Past Accepting new patients

Locations

116 Inverness Dr E
Ste 105
Englewood, CO 80112

5524 S Prince St
Littleton, CO 80120
Phone (303) 730-0797

6507 S Santa Fe Dr
Littleton, CO 80120
Phone (303) 730-0797

6509 S Santa Fe Dr
Littleton, CO 80120
Phone (303) 730-3303

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1534377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1013497221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 INVERNESS DR E STE 105",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801125125",
            "telephone_number": "303-730-8858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7173 S HAVANA ST STE 100",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123892",
            "telephone_number": "720-314-8031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6509 S Santa Fe Dr",
            "address_purpose": "LOCATION",
            "city": "Littleton",
            "state": "CO",
            "postal_code": "801202910",
            "country_code": "US",
            "telephone_number": "303-730-8858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARR",
        "first_name": "JONATHAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-16",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "17633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

Verify at the official NPI Registry.