Jetta Lee Colten, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFT.0001459 Issued in CO

Practice address

6071 E Woodmen Rd
Colorado Springs, CO 80923-2607

Phone

(719) 572-6100

NPI assigned

Dec 7, 2011

Last updated

Jan 18, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Jetta Lee Sullivan-Wells Former name

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Diversus Health IncGroup PAC ID 7719879204, 49 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Diversus Health Inc

  dba Diversus Health Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Colorado Springs, CO
  • NPI 1043260243
  Medicare reassignment Care Compare group NPD
• Diversus Health Inc

  dba Diversus Health Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Colorado Springs, CO
  • NPI 1245696350
  NPD
• Diversus Health Inc

  dba Diversus Health Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Colorado Springs, CO
  • NPI 1295269561
  NPD

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

{
    "created_epoch": "1323216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1356619159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3582 PARKMOOR VILLAGE DR APT B",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809175224",
            "telephone_number": "626-806-7553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6071 E WOODMEN RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809232607",
            "telephone_number": "719-572-6100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1801 Huntington Dr",
            "address_2": "suite 200",
            "address_purpose": "LOCATION",
            "city": "Duarte",
            "state": "CA",
            "postal_code": "910102686",
            "country_code": "US",
            "telephone_number": "626-806-7553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLTEN",
        "first_name": "JETTA",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-07",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "48536",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "MFT.0001459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JETTA",
            "last_name": "SULLIVAN-WELLS",
            "middle_name": "LEE",
            "credential": "LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Colorado Vision
• Ellen R Colpitts, MA, LPC
• Ethan Guy Colston
• James S. Colt, D.D.S.
• Elizabeth Ann Colten, LMFT, CAC III
• Andrea J Colton, M.D., MPH
• Patricia P Columna
• Yulissa Colunga, LSW
• Cameron Colvard
• Colvin Tao Family Dentistry PLLC

• Marriage & Family Therapist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Marriage & Family Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.