Jadi Fergen, MA, LPCC, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPCC.0015439 Issued in CO

Practice address

4297 Austin Bluffs Pkwy Ste 204
Colorado Springs, CO 80918-2953

Phone

(719) 235-5325

NPI assigned

Nov 3, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Regents of the University of Colorado

  • Nurse Practitioner
  • Colorado Springs, CO
  • NPI 1801226048

  Mental Health

  Medicare reassignment NPD
• Altitude Counseling Services LLC

  • Mental Health Counselor
  • Colorado Springs, CO
  • NPI 1255944781
  NPD Authorized official
• The Regents of the University of Colorado

  • Federally Qualified Health Center (FQHC)
  • Denver, CO
  • NPI 1982425674
  NPD

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

{
    "created_epoch": "1509667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509667200000",
    "number": "1093227670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5810 DEL PAZ DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809181704",
            "telephone_number": "605-484-6647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4297 AUSTIN BLUFFS PKWY STE 204",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809182953",
            "telephone_number": "719-235-5325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGEN",
        "first_name": "JADI",
        "credential": "MA, LPCC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-03",
        "last_updated": "2017-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPCC.0015439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candise Jordan Fenton, R.D.
• Jenna Fenton
• Kayla Fenton
• Rebekah Feola
• Sabryn Ferchichi
• Katherine Ferguson-Glidewell, LCSW
• Amber Nichole Ferguson
• Andrew Ferguson
• Ginger Ferguson
• Glenise M Ferguson

• Mental Health Counselor in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.