Active NPI
Jenille Ann Gudahl, LPC, LAC
- Professional Counselor
- Grand JCT, CO
National Provider Identifier
1386017812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC.0015498
- Practice address
- 751 Horizon CT Ste 111
Grand JCT, CO 81506-8718 - Phone
- (970) 361-1038
- Fax
- (970) 644-5147
- NPI assigned
- Nov 5, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | ACD.0000936 | CO | |
| Professional Counselor | 101YP2500X | LPC.0015498 | CO | Primary |
Addresses
Primary practice location
751 Horizon CT Ste 111
Grand JCT, CO 81506-8718
Mailing address
598 Shoshone St
Grand JCT, CO 81504-5681
Phone (970) 361-1038
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9000161929 | Medicaid | CO |
Other names 1
- Jenille Lovelace
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | jenillegudahl@gmail.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240221003007 | CO | Practitioner - Mental Health Counselor | 2567806268 | Practice locations: Grand JCT, CO |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2017
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
751 Horizon CT
Suite 111
Grand JCT, CO 81506-8718
Phone (970) 361-1038
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jenille a Gudahl LPC, Lac, LLC | Addiction (Substance Use Disorder) | Current | Accepting new patients |
Locations
800 Belford Ave
Ste 200A
Grand JCT, CO 81501
Phone (970) 361-1038
751 Horizon Ct
Ste 111
Grand Junction, CO 81506
Phone (970) 361-1038
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.
-
- Professional Counselor
- Grand Junction, CO
- NPI 1629796669
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775174400000",
"number": "1386017812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "598 SHOSHONE ST",
"city": "GRAND JCT",
"state": "CO",
"postal_code": "815045681",
"telephone_number": "970-361-1038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "751 HORIZON CT STE 111",
"city": "GRAND JCT",
"state": "CO",
"postal_code": "815068718",
"telephone_number": "970-361-1038",
"fax_number": "970-644-5147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUDAHL",
"first_name": "JENILLE",
"middle_name": "ANN",
"credential": "LPC, LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-11-05",
"last_updated": "2026-04-03",
"certification_date": "2026-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CO",
"license": "ACD.0000936",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "LPC.0015498",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9000161929",
"state": "CO"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "jenillegudahl@gmail.com",
"affiliation": "N",
"address_1": "598 Shoshone St",
"city": "Grand Jct",
"state": "CO",
"country_code": "US",
"postal_code": "815045681",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "JENILLE",
"last_name": "LOVELACE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Grand JCT, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.