Active NPI
Jeffrey Nelson, LCSW
- Mental Health Counselor
- Lakewood, CO
National Provider Identifier
1104945781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LCSW-992452
- Practice address
- 421 Zang St
Lakewood, CO 80228-1052 - Phone
- (303) 989-4357
- Fax
- (303) 988-2017
- NPI assigned
- Mar 28, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LCSW-992452 | CO | Primary |
Addresses
Primary practice location
421 Zang St
Lakewood, CO 80228-1052
Mailing address
421 Zang St
Lakewood, CO 80228-1052
Phone (303) 989-4357
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 98275054 | Medicaid | CO |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
950 Wadsworth Blvd
Suite 202
Lakewood, CO 80214-4542
Phone (303) 986-4197
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW-992452 | CO | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westside Behavioral Care, Inc. | Clinical | Current | Accepting new patients |
Locations
950 Wadsworth Blvd
Ste 202
Lakewood, CO 80214
Phone (303) 257-7047
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184025600000",
"number": "1104945781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "421 ZANG ST",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802281052",
"telephone_number": "303-989-4357",
"fax_number": "303-988-2017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "421 ZANG ST",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802281052",
"telephone_number": "303-989-4357",
"fax_number": "303-988-2017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "JEFFREY",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-28",
"last_updated": "2007-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "LCSW-992452",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "98275054",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; 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.