Individual provider Active NPI

Jennifer Marie Cordova

  • Professional Counselor
  • Littleton, CO
National Provider Identifier
1356740963
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0014035 Issued in CO
Practice address
5500 S Sycamore St
Littleton, CO 80120-8201
Phone
(303) 730-8858
NPI assigned
Aug 19, 2014
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X LPC.0014035 CO Primary

Addresses

Primary practice location

5500 S Sycamore St
Littleton, CO 80120-8201

Mailing address

155 Inverness Dr W Ste 200
Englewood, CO 80112-5000
Phone (303) 730-8858

Other practice location 1

5984 S Prince St
Littleton, CO 80120-2083
Phone (303) 730-8858

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20231226001708 CO Practitioner - Mental Health Counselor 0244680767 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC.0014035COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Arapahoe Mental Health Center, Inc Current Accepting new patients
Arapahoe Mental Health Center, Inc CurrentSince Jan 1, 2024 Accepting new patients
Arapahoe Mental Health Center, Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

2356 Meadows Blvd
Ste 230B
Castle Rock, CO 80109

116 Inverness Dr E
Ste 105
Englewood, CO 80112

155 Inverness Dr W
Ste 200
Englewood, CO 80112
Phone (303) 779-9676

5524 S Prince St
Littleton, CO 80120
Phone (303) 730-0797

5984 S Prince St
Littleton, CO 80120
Phone (303) 723-4279

10350 Dransfeldt Rd
Parker, CO 80134
Phone (303) 597-3860

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1356740963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 INVERNESS DR W STE 200",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801125000",
            "telephone_number": "303-730-8858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 S SYCAMORE ST",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801208201",
            "telephone_number": "303-730-8858"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5984 S Prince St",
            "address_purpose": "LOCATION",
            "city": "Littleton",
            "state": "CO",
            "postal_code": "801202083",
            "country_code": "US",
            "telephone_number": "303-730-8858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORDOVA",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-19",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0014035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

Verify at the official NPI Registry.