Jae W. Ahn, LCSW
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Aurora, CO
NPI 1154473353 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1154473353
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 147500 (CO)
- Practice address
- 1450 S Havana St Ste 707
Aurora, CO 80012-4034 - Phone
- (303) 517-5570
- Fax
- (303) 309-3990
- NPI assigned
- Jan 17, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 147500 | CO | MD | Addiction (Substance Use Disorder) Counselor |
| 241 | CO | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 147500 | CO | Yes |
| Clinical Social Worker | 1041C0700X | 241 | CO |
Addresses
Primary practice location
1450 S Havana St Ste 707
Aurora, CO 80012-4034
Mailing address
1450 S Havana St Ste 707
Aurora, CO 80012-4034
Phone (303) 517-5570
Other providers in Aurora, CO
- Farduus Yusuf Ahmed
- Isra E Ahmed
- Mohamoud Ismail Ahmed
- Brian Ahn
- Henry D Ahn
- Janice Lynne Aho
- Emma Ahrendsen
- Gretchen Ahrendt
- Steven Arthur Ahrendt
- Jimmy Ai
All providers in Aurora, CO · Addiction (Substance Use Disorder) Counselor in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.