Individual provider Active NPI

Jenille Ann Gudahl, LPC, LAC

  • Professional Counselor
  • Grand JCT, CO
National Provider Identifier
1386017812
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0015498 Issued in CO
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

Updated by the provider on Apr 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
9000161929MedicaidCO

Other names 1

  • Jenille Lovelace Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

OrganizationSpecialtyStatusNew patients
Jenille a Gudahl LPC, Lac, LLC Addiction (Substance Use Disorder) CurrentSince Jan 1, 2020 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.

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

Verify at the official NPI Registry.