Active NPI
Jamie Gandolph, MA
- Counselor
- Louisville, CO
National Provider Identifier
1194238832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- NLC.0108028
- Practice address
- 325 W S Boulder Rd
Louisville, CO 80027-1130 - Phone
- (720) 937-2300
- NPI assigned
- Nov 15, 2017
- Last updated
- Nov 15, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | NLC.0108028 | CO | Primary |
Addresses
Primary practice location
325 W S Boulder Rd
Louisville, CO 80027-1130
Mailing address
15383 Xenia CT
Thornton, CO 80602-5813
Phone (720) 937-2300
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
| License | State | Type | Specialty |
|---|---|---|---|
| NLC.0108028 | CO | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510704000000",
"number": "1194238832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15383 XENIA CT",
"city": "THORNTON",
"state": "CO",
"postal_code": "806025813",
"telephone_number": "720-937-2300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 W S BOULDER RD",
"city": "LOUISVILLE",
"state": "CO",
"postal_code": "800271130",
"telephone_number": "720-937-2300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANDOLPH",
"first_name": "JAMIE",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-11-15",
"last_updated": "2017-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CO",
"license": "NLC.0108028",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Louisville, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.