Active NPI
Taylor Jacobson
- Addiction (Substance Use Disorder) Counselor
- Lakewood, CO
National Provider Identifier
1376909465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- LPC.0014443
- Practice address
- 3225 S Wadsworth Blvd Unit T
Lakewood, CO 80227-5009 - Phone
- (303) 231-0090
- NPI assigned
- Jan 6, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LPC.0014443 | CO | Primary |
Addresses
Primary practice location
3225 S Wadsworth Blvd Unit T
Lakewood, CO 80227-5009
Mailing address
2762 S Hooker St
Denver, CO 80236-2508
Other practice location 1
4455 E 12th Ave
Denver, CO 80220
Phone (903) 654-7999
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC.0014443 | CO | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521590400000",
"number": "1376909465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2762 S HOOKER ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802362508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3225 S WADSWORTH BLVD UNIT T",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802275009",
"telephone_number": "303-231-0090"
}
],
"practiceLocations": [
{
"address_1": "4455 E 12th Ave",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "80220",
"country_code": "US",
"telephone_number": "903-654-7999",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JACOBSON",
"first_name": "TAYLOR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-01-06",
"last_updated": "2018-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CO",
"license": "LPC.0014443",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.