Active NPI
Janelle I. Dirstine, LPC
- Mental Health Counselor
- Broomfield, CO
National Provider Identifier
1295090249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 5945
- Practice address
- 7050 W 120TH Ave Unit 120
Broomfield, CO 80020-7604 - Phone
- (303) 587-1296
- NPI assigned
- Jul 5, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | 5945 | CO | |
| Mental Health Counselor | 101YM0800X | 5945 | Primary |
Addresses
Primary practice location
7050 W 120TH Ave Unit 120
Broomfield, CO 80020-7604
Mailing address
7050 W 120TH Ave Unit 120
Broomfield, CO 80020-7604
Phone (303) 587-1296
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 |
|---|---|---|---|
| 5945 | CO | MD | Mental Illness Community Based Residential Treatment Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699488000000",
"number": "1295090249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7050 W 120TH AVE UNIT 120",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800207604",
"telephone_number": "303-587-1296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7050 W 120TH AVE UNIT 120",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800207604",
"telephone_number": "303-587-1296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIRSTINE",
"first_name": "JANELLE",
"middle_name": "I.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-05",
"last_updated": "2023-11-09",
"certification_date": "2023-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": "CO",
"license": "5945",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": "5945",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Broomfield, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.