Destination Hope Counseling of Colorado LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0013665 Issued in CO

Legal business name

DESTINATION HOPE COUNSELING OF COLORADO LLC

Practice address

827 Thornwood Cir
Longmont, CO 80503-7699

Phone

(505) 450-8302

NPI assigned

Oct 4, 2017

Last updated

Oct 4, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jessica Wiggins, LPCNPI 1518281211

Title

Owner

Phone

(505) 450-8302

Specialties & licenses 1

Addresses

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.

• Jessica J Wiggins, LPC

  • Mental Health Counselor
  • Longmont, CO
  • NPI 1518281211

  Professional

  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1507075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507075200000",
    "number": "1316457351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 THORNWOOD CIR",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805037699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 THORNWOOD CIR",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805037699",
            "telephone_number": "505-450-8302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTINATION HOPE COUNSELING OF COLORADO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-04",
        "last_updated": "2017-10-04",
        "status": "A",
        "authorized_official_last_name": "WIGGINS",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-450-8302",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "0013665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Longmont, CO
• Providers in Longmont, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.

Verify at the official NPI Registry.