Organization Active NPI

Intuitive Art Play Trauma Therapy Colorado, LLC

Doing business as Jessica Kuchinski, LPC, ATR

  • Professional Counselor
  • Broomfield, CO
National Provider Identifier
1376040964
Registry record updated Jan 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
INTUITIVE ART PLAY TRAUMA THERAPY COLORADO, LLC
Doing business as
Jessica Kuchinski, LPC, ATR
Practice address
80 Garden Ctr Ste 120
Broomfield, CO 80020-1735
Phone
(303) 917-2600
NPI assigned
Apr 10, 2018
Last updated
Jan 30, 2019By the provider in NPPES
Organization subpart
No

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

Authorized official

Name
Jessica Kuchinski, MA, LPCNPI 1366621849
Title
Owner
Phone
(303) 917-2600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary
Psychologist 103T00000X 0006211 CO
Group Psychotherapy Psychologist 103TP2701X NU

Addresses

Primary practice location

80 Garden Ctr Ste 120
Broomfield, CO 80020-1735

Mailing address

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

Other practice location 1

2247 Federal Blvd
Denver, CO 80211-4641
Phone (303) 917-2600

Other practice location 2

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

Other identifiers 1

IdentifierTypeStateIssuer
30635047MedicaidCO

Other names 1

  • Jessica Kuchinski, LPC, ATR Doing business as

National Provider Directory

National Provider Directory

Locations

2247 Federal Blvd
Denver, CO 80211
Phone (303) 917-2600

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1523318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548806400000",
    "number": "1376040964",
    "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": "80 GARDEN CTR STE 120",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800201735",
            "telephone_number": "303-917-2600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2247 Federal Blvd",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802114641",
            "country_code": "US",
            "telephone_number": "303-917-2600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "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"
        }
    ],
    "basic": {
        "organization_name": "INTUITIVE ART PLAY TRAUMA THERAPY COLORADO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-10",
        "last_updated": "2019-01-30",
        "status": "A",
        "authorized_official_last_name": "KUCHINSKI",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-917-2600",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "0006211",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30635047",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jessica Kuchinski, LPC, ATR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Broomfield, 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.