Individual provider Active NPI

Jade W Cooley, LPC

  • Mental Health Counselor
  • Denver, CO
National Provider Identifier
1093258634
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0017683 Issued in CO
Practice address
2150 W 29TH Ave Ste 135
Denver, CO 80211-3869
Phone
(720) 263-7194
NPI assigned
Nov 30, 2016
Last updated
Aug 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0017683 CO Primary

Addresses

Primary practice location

2150 W 29TH Ave Ste 135
Denver, CO 80211-3869

Mailing address

2150 W 29TH Ave Ste 135
Denver, CO 80211-3869
Phone (720) 263-7194

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

State licenses

LicenseStateTypeSpecialty
0017683COMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Jade Cooley Therapy LLC Mental Health CurrentSince Jul 1, 2023 Accepting new patients

Locations

2150 W 29th Ave
Ste 135
Denver, CO 80211
Phone (720) 263-7194

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1480464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1093258634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 W 29TH AVE STE 135",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802113869",
            "telephone_number": "720-263-7194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 W 29TH AVE STE 135",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802113869",
            "telephone_number": "720-263-7194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOLEY",
        "first_name": "JADE",
        "middle_name": "W",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-30",
        "last_updated": "2023-08-01",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "0017683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; 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.