Active NPI
Jasmin McKenna
- Marriage & Family Therapist
- Denver, CO
National Provider Identifier
1154164929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFTC.0014662
- Practice address
- 90 Madison St Ste 302
Denver, CO 80206-5412 - Phone
- (720) 388-8263
- Fax
- (720) 216-2276
- NPI assigned
- Jun 18, 2024
- Sex
- Unspecified or another gender identity
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFTC.0014662 | CO | Primary |
Addresses
Primary practice location
90 Madison St Ste 302
Denver, CO 80206-5412
Mailing address
679 S Reed CT Apt 3-404
Lakewood, CO 80226-4478
Phone (641) 430-9023
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
| License | State | Type | Specialty |
|---|---|---|---|
| MFTC.0014662 | CO | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718668800000",
"number": "1154164929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "679 S REED CT APT 3-404",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802264478",
"telephone_number": "641-430-9023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 MADISON ST STE 302",
"city": "DENVER",
"state": "CO",
"postal_code": "802065412",
"telephone_number": "720-388-8263",
"fax_number": "720-216-2276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKENNA",
"first_name": "JASMIN",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2024-06-18",
"last_updated": "2024-06-18",
"certification_date": "2024-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CO",
"license": "MFTC.0014662",
"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 Jun 18, 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.