NPIMap

Organization Active NPI

JLW Manifestations, LLC

  • Clinical Social Worker
  • Aurora, CO
National Provider Identifier
1063056521
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
JLW MANIFESTATIONS, LLC
Doing business as
Yemaya Innergy Therapeutics
Practice address
390 S Potomac Way Ste C
Aurora, CO 80012-2491
Phone
(720) 463-4167
NPI assigned
Oct 29, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2019

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

Authorized official

Name
Jalisa Williams, LCSW
Title
Owner/Therapist
Phone
(720) 463-4167

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

390 S Potomac Way Ste C
Aurora, CO 80012-2491

Mailing address

390 S Potomac Way Ste C
Aurora, CO 80012-2491
Phone (720) 463-4167

Other names 1

  • Yemaya Innergy Therapeutics Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1572307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572307200000",
    "number": "1063056521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 S POTOMAC WAY STE C",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800122491",
            "telephone_number": "720-463-4167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 S POTOMAC WAY STE C",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800122491",
            "telephone_number": "720-463-4167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JLW MANIFESTATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-29",
        "last_updated": "2019-10-29",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JALISA",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "720-463-4167",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yemaya Innergy Therapeutics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; 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.