Joseph S Jackson, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT.0002235 Issued in CO

Practice address

1011 37TH Avenue CT
Ste 201 and 202
Greeley, CO 80634-2562

Phone

(970) 672-4667

NPI assigned

Apr 16, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Specialty Counseling & Consulting

  • Psychiatry Physician
  • Greeley, CO
  • NPI 1043082431

  Mental Health

  NPD (past)
• Specialty Counseling & Consulting

  • Psychiatry Physician
  • Wellington, CO
  • NPI 1982476370

  Mental Health

  NPD (past)
• Specialty Counseling & Consulting

  • Community/Behavioral Health Agency
  • Cheyenne, WY
  • NPI 1538462783

  Psychiatry

  NPD (past)

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

{
    "created_epoch": "1397606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683158400000",
    "number": "1104246206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4025 RAWLINS ST",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820011900",
            "telephone_number": "307-426-4797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 37TH AVENUE CT",
            "address_2": "STE 201 AND 202",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806342562",
            "telephone_number": "970-672-4667"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1413 W 29th St",
            "address_purpose": "LOCATION",
            "city": "Loveland",
            "state": "CO",
            "postal_code": "805382403",
            "country_code": "US",
            "telephone_number": "970-942-3037",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2550 Stover St Bldg C",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805254641",
            "country_code": "US",
            "telephone_number": "970-942-3031",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4006 Cleveland Ave",
            "address_2": "Bldg B, Ste 1",
            "address_purpose": "LOCATION",
            "city": "Wellington",
            "state": "CO",
            "postal_code": "805495056",
            "country_code": "US",
            "telephone_number": "307-459-3670",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3257 W 20th St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Greeley",
            "state": "CO",
            "postal_code": "806346550",
            "country_code": "US",
            "telephone_number": "970-672-4667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "JOSEPH",
        "middle_name": "S",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-16",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "MFTC.0014028",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "LMFT.0002235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandi Leigh Jack, MA, LAC, LPC
• Amy Michele Jackson
• Annika Elise Jackson
• Deandre Jackson Jr.
• Jayden Jackson
• Megan Jackson
• Taylor Marie Jackson, LPCC
• Amy J Jacob
• Joshua Gregory Jacob, DPT
• Cheri Jacobs

• Marriage & Family Therapist in Greeley, CO
• Providers in Greeley, CO by specialty
• Marriage & Family Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.