Active NPI
Authentic Journeys, LLC
- Mental Health Counselor
- Thornton, CO
National Provider Identifier
1285182188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 4089
- Legal business name
- AUTHENTIC JOURNEYS, LLC
- Practice address
- 9351 Grant St
Suite 480
Thornton, CO 80229-4358 - Phone
- (303) 882-4679
- Fax
- (303) 479-8025
- NPI assigned
- Sep 20, 2016
- Last updated
- Sep 20, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Nakata
- Title
- Owner/Therapist
- Phone
- (303) 882-4679
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 4089 | CO | Primary |
Addresses
Primary practice location
9351 Grant St
Suite 480
Thornton, CO 80229-4358
Mailing address
PO Box 29737
Thornton, CO 80229-0737
Phone (303) 882-4679
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285031070 | Other | NPI INDIVIDUAL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Mental Health Counselor
- Westminster, CO
- NPI 1285031070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474329600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1474329600000",
"number": "1285182188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 29737",
"city": "THORNTON",
"state": "CO",
"postal_code": "802290737",
"telephone_number": "303-882-4679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9351 GRANT ST",
"address_2": "SUITE 480",
"city": "THORNTON",
"state": "CO",
"postal_code": "802294358",
"telephone_number": "303-882-4679",
"fax_number": "303-479-8025"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AUTHENTIC JOURNEYS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-20",
"last_updated": "2016-09-20",
"status": "A",
"authorized_official_last_name": "NAKATA",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "OWNER/THERAPIST",
"authorized_official_telephone_number": "303-882-4679"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "4089",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI INDIVIDUAL",
"identifier": "1285031070",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Thornton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.