Individual provider Active NPI

Jason J Bickley, LPC

  • Professional Counselor
  • Colorado Springs, CO
National Provider Identifier
1205553807
Registry record updated Mar 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0019101 Issued in CO
Practice address
5360 N Academy Blvd Ste 220
Colorado Springs, CO 80918-4038
Phone
(719) 375-8841
NPI assigned
Oct 24, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC.0019101 CO Primary

Addresses

Primary practice location

5360 N Academy Blvd Ste 220
Colorado Springs, CO 80918-4038

Mailing address

5360 N Academy Blvd Ste 220
Colorado Springs, CO 80918-4038
Phone (704) 610-5352

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Jason@RedMtnCounseling.com Health Information Exchange (HIE)

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

LicenseStateTypeSpecialty
LPC.0019101COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Red Mountain Counseling, LLC Professional CurrentSince Sep 5, 2023 Accepting new patients

Locations

6180 Lehman Dr
Ste 102
Colorado Springs, CO 80918
Phone (704) 610-5352

5360 N Academy Blvd
Ste 220
Colorado Springs, CO 80918
Phone (719) 598-3585

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1205553807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5360 N ACADEMY BLVD STE 220",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809184038",
            "telephone_number": "704-610-5352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5360 N ACADEMY BLVD STE 220",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809184038",
            "telephone_number": "719-375-8841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BICKLEY",
        "first_name": "JASON",
        "middle_name": "J",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-24",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0019101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Jason@RedMtnCounseling.com",
            "affiliation": "N",
            "endpointDescription": "Professional, HIPAA -Compliant Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5360 N Academy Blvd Ste 220",
            "city": "Colorado Springs",
            "state": "CO",
            "country_code": "US",
            "postal_code": "809184038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; 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.