Jars of Clay, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

JARS OF CLAY, LLC

Practice address

6537 N. Academy
1052
Colorado Springs, CO 80918-8091

Phone

(303) 900-8712

NPI assigned

Aug 14, 2019

Organization subpart

No

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

Authorized official

Name

Monique Phillip, LPCNPI 1629510805

Title

Owner

Phone

(303) 900-8712

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Monique Phillip, MA, LPC

  • Professional Counselor
  • Denver, CO
  • NPI 1629510805

  CO, Professional

  Medicare reassignment NPD Authorized official
• Macie Dominique

  • Professional Counselor
  • Aurora, CO
  • NPI 1124787411

  CO, Professional

  Medicare reassignment NPD
• Autumn Meadows, LCSW

  • Clinical Social Worker
  • Colorado Springs, CO
  • NPI 1639704299

  CO

  Medicare reassignment NPD

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

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565740800000",
    "number": "1013563154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7875 MORNING DEW RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809085637",
            "telephone_number": "281-203-1514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6537 N. ACADEMY",
            "address_2": "1052",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809188091",
            "telephone_number": "303-900-8712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JARS OF CLAY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-14",
        "last_updated": "2019-08-14",
        "status": "A",
        "authorized_official_last_name": "PHILLIP",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-900-8712",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.simplepractice.com",
            "affiliation": "N",
            "endpointDescription": "Private practice management system",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6537 N. Academy",
            "address_2": "1052",
            "city": "Colorado Springs",
            "state": "CO",
            "country_code": "US",
            "postal_code": "809188091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Javier Alfonso Jaramillo
• Shyla Jaramillo
• Timothy Jardeleza, M.D.
• Jeremy Edward Jarecke, D.O.
• Carolyn J Jarnes, RNFA/NP
• Sarah Haney Jarvie
• Sera Jarvie
• Margaret Jarvis
• Jason Jost OD PC
• Farrukh Javaid, M.D.

• Professional Counselor in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.