Active NPI
Jamie Lee Runko, MA, LPCC
- Counselor
- Golden, CO
National Provider Identifier
1255053005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 0019575
- Practice address
- 700 12TH St Ste 220
Golden, CO 80401-1231 - Phone
- (616) 308-0801
- NPI assigned
- Sep 16, 2022
- 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 | 0019575 | CO | Primary |
Addresses
Primary practice location
700 12TH St Ste 220
Golden, CO 80401-1231
Mailing address
4747 Bryant St
Denver, CO 80211-1157
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 |
|---|---|---|---|
| 0019575 | CO | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663286400000",
"number": "1255053005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4747 BRYANT ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802111157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 12TH ST STE 220",
"city": "GOLDEN",
"state": "CO",
"postal_code": "804011231",
"telephone_number": "616-308-0801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUNKO",
"first_name": "JAMIE",
"middle_name": "LEE",
"credential": "MA, LPCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-16",
"last_updated": "2022-09-16",
"certification_date": "2022-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CO",
"license": "0019575",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Golden, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.