Jeffrey Thomas Mitchell, MA, MS, LPS, LAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

ACC.0006290 Issued in CO

Practice address

757 Maleta LN Ste 101
Castle Rock, CO 80108-7612

Phone

(720) 733-8886

Fax

(720) 733-8894

NPI assigned

Apr 22, 2021

Last updated

Aug 10, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts, Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• New Paradigm Counseling

  • Addiction (Substance Use Disorder) Counselor
  • Castle Rock, CO
  • NPI 1245967835
  NPD Authorized official
• New Paradigm Counseling

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Castle Rock, CO
  • NPI 1447677042

  Counselor

  NPD Authorized official

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

{
    "created_epoch": "1619049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1336721000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757 MALETA LN STE 101",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801087612",
            "telephone_number": "303-396-7049",
            "fax_number": "720-733-8894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 MALETA LN STE 101",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801087612",
            "telephone_number": "720-733-8886",
            "fax_number": "720-733-8894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "JEFFREY",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "MA, MS, LPS, LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-22",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CO",
            "license": "ACC.0006290",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACC.0006290",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "ACC.0006290",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "ACC.0006290",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mia Sara Minjarez I
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• Ashley Mitchell
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• Dawne E. Moll, PT, DPT, CNDT

• Addiction (Substance Use Disorder) Counselor in Castle Rock, CO
• Providers in Castle Rock, CO by specialty
• Addiction (Substance Use Disorder) Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.