Jordan Anthony Yates, LPC, ATR

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC.0020902 Issued in CO

Practice address

6654 Gunpark Dr Ste 200F
Boulder, CO 80301-3384

Phone

(303) 990-7380

NPI assigned

Oct 19, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1063138121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5126 WILLIAMS FORK TRL APT 205",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803016607",
            "telephone_number": "303-990-7380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6654 GUNPARK DR STE 200F",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803013384",
            "telephone_number": "303-990-7380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YATES",
        "first_name": "JORDAN",
        "middle_name": "ANTHONY",
        "credential": "LPC, ATR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-19",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "CO",
            "license": "22-477",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0020902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily L Yamazaki, M.A., LPCC
• Pei Fen Yan
• Brenda Lee Yang, RN, MA, LPC
• Marie A Yarrington, LCSW
• Caila Yates, MS, RDN
• Nicole Cerutti Yazdi, MA, R-DMT, LCAT-LP
• David A. Yeats, L.C.S.W.
• Jesse Lynne Yedinak
• Erin Kathryn Yee, RN
• Noel Yegian, LPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.

Verify at the official NPI Registry.