Active NPI
Jamie Lyn Harrison
- Mental Health Counselor
- Arvada, CO
National Provider Identifier
1275043523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- NLC.0107674
- Practice address
- 8725 W 81St PL
Arvada, CO 80005-2414 - Phone
- (303) 982-1012
- Fax
- (303) 982-1013
- NPI assigned
- Oct 1, 2017
- Last updated
- Oct 1, 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NLC.0107674 | CO | Primary |
Addresses
Primary practice location
8725 W 81St PL
Arvada, CO 80005-2414
Mailing address
4851 Independence Street
Suite 200
Wheat Ridge, CO 80033-6715
Phone (303) 425-0300
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 |
|---|---|---|---|
| NLC.0107674 | CO | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1506816000000",
"number": "1275043523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4851 INDEPENDENCE STREET",
"address_2": "SUITE 200",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "800336715",
"telephone_number": "303-425-0300",
"fax_number": "303-432-5071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8725 W 81ST PL",
"city": "ARVADA",
"state": "CO",
"postal_code": "800052414",
"telephone_number": "303-982-1012",
"fax_number": "303-982-1013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRISON",
"first_name": "JAMIE",
"middle_name": "LYN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-01",
"last_updated": "2017-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "NLC.0107674",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arvada, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.