Active NPI
Jordan Herselman, MA, LPC, LAC
- Professional Counselor
- Denver, CO
National Provider Identifier
1386118685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC.0015166
- Practice address
- 899 N Logan St Ste 309
Denver, CO 80203-3155 - Phone
- (512) 787-0264
- NPI assigned
- Jan 20, 2019
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC.0015166 | CO | |
| Professional Counselor | 101YP2500X | LPC.0015166 | CO | Primary |
Addresses
Primary practice location
899 N Logan St Ste 309
Denver, CO 80203-3155
Mailing address
7890 W Portland Ave
Littleton, CO 80128-4431
Phone (512) 787-0264
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC.0015166 | CO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682553600000",
"number": "1386118685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7890 W PORTLAND AVE",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801284431",
"telephone_number": "512-787-0264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "899 N LOGAN ST STE 309",
"city": "DENVER",
"state": "CO",
"postal_code": "802033155",
"telephone_number": "512-787-0264"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERSELMAN",
"first_name": "JORDAN",
"credential": "MA, LPC, LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-20",
"last_updated": "2023-04-27",
"certification_date": "2023-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "LPC.0015166",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "LPC.0015166",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.