Individual provider Active NPI

Jackeline Martinez

  • Professional Counselor
  • Greenwood Village, CO
National Provider Identifier
1366165078
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0021377 Issued in CO
Practice address
5445 DTC Pkwy PH 4
Greenwood Village, CO 80111-3059
Phone
(847) 510-7464
NPI assigned
Sep 19, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC.0021377 CO Primary

Addresses

Primary practice location

5445 DTC Pkwy PH 4
Greenwood Village, CO 80111-3059

Mailing address

5605 Tanagerlake Rd
Lithia, FL 33547-5868

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: No
  • 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
I20250611001811 CO Practitioner - Mental Health Counselor 9830609502 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC.0021377COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Higher Sights Counseling Mental Health CurrentSince Apr 29, 2025 Accepting new patients

Locations

5353 W Dartmouth Ave
Ste 305
Lakewood, CO 80227
Phone (720) 943-7050

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1366165078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5605 TANAGERLAKE RD",
            "city": "LITHIA",
            "state": "FL",
            "postal_code": "335475868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5445 DTC PKWY PH 4",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801113059",
            "telephone_number": "847-510-7464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "JACKELINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-19",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0021377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

Verify at the official NPI Registry.