Active NPI
Jason Davies
- Case Manager/Care Coordinator
- Lakewood, CO
National Provider Identifier
1164895751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 1255 Lee St
Lakewood, CO 80215-4542 - Phone
- (720) 266-4444
- Fax
- (303) 232-2399
- NPI assigned
- Nov 4, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFTC.0013459 | CO | |
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
1255 Lee St
Lakewood, CO 80215-4542
Mailing address
4141 E Dickenson PL
Denver, CO 80222-6012
Phone (303) 504-6500
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.0013459 | CO | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597795200000",
"number": "1164895751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4141 E DICKENSON PL",
"city": "DENVER",
"state": "CO",
"postal_code": "802226012",
"telephone_number": "303-504-6500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1255 LEE ST",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802154542",
"telephone_number": "720-266-4444",
"fax_number": "303-232-2399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIES",
"first_name": "JASON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-11-04",
"last_updated": "2020-08-19",
"certification_date": "2020-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CO",
"license": "MFTC.0013459",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Aug 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.