Individual provider Active NPI

Jordan Adsit, MA, LPC

  • Professional Counselor
  • Colorado Springs, CO
National Provider Identifier
1114641818
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0021442 Issued in CO
Practice address
1223 Lake Plaza Dr Ste C
Colorado Springs, CO 80906-3580
Phone
(719) 413-8481
NPI assigned
Sep 27, 2022
Last updated
Nov 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LPCC.0020111 CO
Mental Health Counselor 101YM0800X LPCC.0020111 CO
Professional Counselor 101YP2500X LPCC.0020111 CO
Professional Counselor 101YP2500X LPC.0021442 CO Primary

Addresses

Primary practice location

1223 Lake Plaza Dr Ste C
Colorado Springs, CO 80906-3580

Mailing address

1223 Lake Plaza Dr Ste C
Colorado Springs, CO 80906-3580

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LPC.0021442COMDProfessional Counselor
LPCC.0020111COMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1664236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1114641818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 LAKE PLAZA DR STE C",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809063580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 LAKE PLAZA DR STE C",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809063580",
            "telephone_number": "719-413-8481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADSIT",
        "first_name": "JORDAN",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-27",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CO",
            "license": "LPCC.0020111",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPCC.0020111",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPCC.0020111",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0021442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.