NPIMap

Organization Active NPI

Reflective Wellness Mind and Body

  • Mental Health Counselor
  • Aurora, CO
National Provider Identifier
1083250039
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
REFLECTIVE WELLNESS MIND AND BODY
Practice address
13731 E Rice PL Ste 200
Aurora, CO 80015-1077
Phone
(720) 949-1707
Fax
(720) 639-2317
NPI assigned
Nov 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2026

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

Authorized official

Name
Letitia Jackson, MCC LPCNPI 1962651703
Title
Owner
Phone
(303) 257-3746

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

13731 E Rice PL Ste 200
Aurora, CO 80015-1077

Mailing address

13731 E Rice PL Ste 200
Aurora, CO 80015-1077
Phone (303) 257-3746

Other identifiers 1

IdentifierTypeStateIssuer
37554522MedicaidCO

Other names 1

  • Reflective Psychotherapy Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240509001229 CO Part B Supplier - Clinic/Group Practice 5294176186 Receives reassigned benefits from 13 practitioners
Practice locations: Aurora, CO

National Provider Directory

National Provider Directory
Tax ID family
Reflective Psychotherapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1574640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778198400000",
    "number": "1083250039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13731 E RICE PL STE 200",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800151077",
            "telephone_number": "303-257-3746",
            "fax_number": "720-639-2317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13731 E RICE PL STE 200",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800151077",
            "telephone_number": "720-949-1707",
            "fax_number": "720-639-2317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFLECTIVE WELLNESS MIND AND BODY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-25",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "LETITIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-257-3746",
        "authorized_official_credential": "MCC LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "37554522",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reflective Psychotherapy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 May 8, 2026; 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.