Individual provider Active NPI

Jarl Brendan Anderson, MA, MFTC

  • Marriage & Family Therapist
  • Westminster, CO
National Provider Identifier
1376010447
Registry record updated Oct 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFTC.0013809 Issued in CO
Practice address
8120 Sheridan Blvd Ste 219C
Westminster, CO 80003-6145
Phone
(720) 295-0392
NPI assigned
Oct 26, 2018
Sex
Male
Sole proprietor
Yes

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
MFTC.0013809COMDMarriage & Family Therapist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFTC.0013809 CO Primary

Addresses

NPPES NPI Registry

Primary practice location

8120 Sheridan Blvd Ste 219C
Westminster, CO 80003-6145

Mailing address

10025 W 81St Cir
Arvada, CO 80005-5213
Phone (303) 909-1181

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 26, 2018.

{
    "created_epoch": "1540512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540512000000",
    "number": "1376010447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10025 W 81ST CIR",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800055213",
            "telephone_number": "303-909-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8120 SHERIDAN BLVD STE 219C",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800036145",
            "telephone_number": "720-295-0392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JARL",
        "middle_name": "BRENDAN",
        "credential": "MA, MFTC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-26",
        "last_updated": "2018-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "MFTC.0013809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2018; 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.