Jodi Alieksaites, LPC
Individual provider Active NPI Professional Counselor · Boulder, CO
NPI 1306372099 · NPPES record last updated Feb 16, 2023
Key facts
- NPI
- 1306372099
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- LPC.0013030 (CO)
- Practice address
- 1942 Broadway Ste 314C
Boulder, CO 80302-5233 - Phone
- (303) 390-1396
- NPI assigned
- May 2, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC.0013030 | CO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Light in Dark Places LLC | Professional | Current |
Accepting new patients |
Locations
1942 Broadway
Ste 314C
Boulder, CO 80302
Phone (719) 203-1465
3825 Iris Ave
Ste 310
Boulder, CO 80301
2825 Marine St
Boulder, CO 80303
Phone (303) 447-0443
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC.0013030 | CO | Yes |
Addresses
Primary practice location
1942 Broadway Ste 314C
Boulder, CO 80302-5233
Mailing address
1942 Broadway Ste 314C
Boulder, CO 80302-5233
Phone (303) 390-1396
Other providers in Boulder, CO
- Dacia Alexander
- Erik Daniel Alexander
- Anna Alford
- Nicole Alford
- Hadi Ali
- All Sports Medicine of Boulder
- Jessica Clark Allbee
- Jessica Allee-Walsh
- Alleman Family Dental, P.C.
- Daniel Nathan Alleman
All providers in Boulder, CO · Professional Counselor in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 16, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.