Individual provider Active NPI

Jessica Suzanne Kuchinski, MA, LPC, ATR

  • Psychologist
  • Denver, CO
National Provider Identifier
1366621849
Registry record updated Jan 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
0006211 Issued in CO
Practice address
2247 Federal Blvd
Denver, CO 80211-4641
Phone
(303) 917-2600
NPI assigned
Oct 31, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 0006211 CO Primary
Professional Counselor 101YP2500X 0006211 CO
Counseling Psychologist 103TC1900X 006211 CO
Group Psychotherapy PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TP2701X 0006211 CO

Addresses

Primary practice location

2247 Federal Blvd
Denver, CO 80211-4641

Mailing address

722 Julian Cir
Lafayette, CO 80026-1164
Phone (303) 917-2600

Other practice location 1

3107 E Colfax Ave
Denver, CO 80206-1709
Phone (303) 917-2600

Other practice location 2

80 Garden Ctr Ste 120
Broomfield, CO 80020-1735
Phone (303) 917-2600

Other identifiers 1

IdentifierTypeStateIssuer
30635047MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
0006211COMDPsychologist
006211COMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Intuitive Art Play Trauma Therapy Colorado, LLC Professional Past Accepting new patients

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, 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": "1193788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548806400000",
    "number": "1366621849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 JULIAN CIR",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800261164",
            "telephone_number": "303-917-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2247 FEDERAL BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802114641",
            "telephone_number": "303-917-2600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3107 E Colfax Ave",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802061709",
            "country_code": "US",
            "telephone_number": "303-917-2600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "80 Garden Ctr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Broomfield",
            "state": "CO",
            "postal_code": "800201735",
            "country_code": "US",
            "telephone_number": "303-917-2600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUCHINSKI",
        "first_name": "JESSICA",
        "middle_name": "SUZANNE",
        "name_prefix": "Ms.",
        "credential": "MA, LPC, ATR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-31",
        "last_updated": "2019-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "0006211",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "0006211",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "CO",
            "license": "006211",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "CO",
            "license": "0006211",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30635047",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; 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.