Jared Kellerman

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

0013608 Issued in CO

Practice address

9200 W Cross Dr Ste 215
Littleton, CO 80123-2238

Phone

(720) 593-0630

NPI assigned

Mar 13, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1552435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552435200000",
    "number": "1154880847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 W CROSS DR STE 215",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801232238",
            "telephone_number": "720-593-0630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 W CROSS DR STE 215",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801232238",
            "telephone_number": "720-593-0630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLERMAN",
        "first_name": "JARED",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-13",
        "last_updated": "2019-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "0013608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jared@relational-roots.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9200 W Cross Dr Ste 215",
            "city": "Littleton",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801232238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kayde Lou Keinz, BCBA
• Keith a Naftulin, DPM, PC
• Kallie Keith
• Carina Kellenberger, LCSW
• Lisa Gwyn Keller, PA-C
• Mary M Kelley-Anderle
• Amber Renee Kelley, LMT
• Glen David Kelley, MD
• Lisa K. Kelley, LPC
• Mariah Kelley

• Marriage & Family Therapist in Littleton, CO
• Providers in Littleton, 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 Mar 13, 2019; 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.