Active NPI
Jovahna Pena
- Addiction (Substance Use Disorder) Counselor
- Longmont, CO
National Provider Identifier
1295298545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 0107861
- Practice address
- Behavioral Health Group
850 23Rd Ave Unit a
Longmont, CO 80501 - Phone
- (303) 245-0123
- NPI assigned
- Apr 12, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0107861 | CO | Primary |
Addresses
Primary practice location
Behavioral Health Group
850 23Rd Ave Unit a
Longmont, CO 80501
Mailing address
1906 Pearl St Apt 4
Boulder, CO 80302-4472
Phone (928) 606-4353
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 |
|---|---|---|---|
| 0107861 | CO | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555027200000",
"number": "1295298545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1906 PEARL ST APT 4",
"city": "BOULDER",
"state": "CO",
"postal_code": "803024472",
"telephone_number": "928-606-4353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BEHAVIORAL HEALTH GROUP",
"address_2": "850 23RD AVE UNIT A",
"city": "LONGMONT",
"state": "CO",
"postal_code": "80501",
"telephone_number": "303-245-0123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENA",
"first_name": "JOVAHNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-12",
"last_updated": "2019-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CO",
"license": "0107861",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Longmont, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.