Active NPI
Jacquelynne Sils
- Professional Counselor
- Colorado Springs, CO
National Provider Identifier
1063093367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 5585 Erindale Dr Ste 736
Colorado Springs, CO 80918-6737 - Phone
- (719) 696-3439
- NPI assigned
- Apr 19, 2021
- Last updated
- Mar 20, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | NU | Primary |
Addresses
Primary practice location
5585 Erindale Dr Ste 736
Colorado Springs, CO 80918-6737
Mailing address
424 Jenkins Ranch Rd
Durango, CO 81301-6546
Phone (937) 717-8812
Other names 1
- Jacquelynne Marie Stedman
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Creation Counseling Inc | Past | Accepting new patients | |
| New Creation Counseling Center | Past | Accepting new patients | |
| Overcomers Counseling | Professional | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Professional Counselor
- Colorado Springs, CO
- NPI 1568016038
-
- Counselor
- Tipp City, OH
- NPI 1427461763
-
- Voluntary or Charitable Agency
- Tipp City, OH
- NPI 1134295439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710892800000",
"number": "1063093367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "424 JENKINS RANCH RD",
"city": "DURANGO",
"state": "CO",
"postal_code": "813016546",
"telephone_number": "937-717-8812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5585 ERINDALE DR STE 736",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809186737",
"telephone_number": "719-696-3439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SILS",
"first_name": "JACQUELYNNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-19",
"last_updated": "2024-03-20",
"certification_date": "2024-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JACQUELYNNE",
"last_name": "STEDMAN",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.