Organization Active NPI

Mindshine Counseling, PLLC

  • Clinical Social Worker
  • Aurora, CO
National Provider Identifier
1265292544
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MINDSHINE COUNSELING, PLLC
Practice address
1250 S Buckley Rd
Ste 1
Aurora, CO 80017-4180
Phone
(720) 509-9277
NPI assigned
Mar 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Authorized official

Name
Kayla Jackson, LCSWNPI 1659013753
Title
Owner
Phone
(720) 509-9277

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1250 S Buckley Rd
Ste 1
Aurora, CO 80017-4180

Mailing address

1250 S Buckley Rd Ste 1
Aurora, CO 80017-4180
Phone (720) 509-9277

National Provider Directory

National Provider Directory

Locations

1250 S Buckley Rd
Ste 1
Aurora, CO 80017
Phone (720) 509-9277

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1710979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710979200000",
    "number": "1265292544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 S BUCKLEY RD STE 1",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800174180",
            "telephone_number": "720-509-9277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 S BUCKLEY RD",
            "address_2": "STE 1",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800174180",
            "telephone_number": "720-509-9277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDSHINE COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-21",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-19",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-509-9277",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; 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.