Jacqueline Cabrera

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC.0020018 Issued in CO

Practice address

2045 W Victory Way # NA
Craig, CO 81625-3439

Phone

(970) 824-2557

NPI assigned

Apr 3, 2024

Last updated

Apr 3, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Yampa Valley Psychotherapist's LLC

  • Mental Health Counselor
  • Craig, CO
  • NPI 1730774613
  NPD Authorized official

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

{
    "created_epoch": "1712102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1386496206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 W VICTORY WAY",
            "city": "CRAIG",
            "state": "CO",
            "postal_code": "816253439",
            "telephone_number": "970-824-2557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 W VICTORY WAY # NA",
            "city": "CRAIG",
            "state": "CO",
            "postal_code": "816253439",
            "telephone_number": "970-824-2557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABRERA",
        "first_name": "JACQUELINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-03",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.0020018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karrie L Booth, MT
• Kevin Scott Borchard, M.D.
• Courtney Elizabeth Bowey, RDH
• Sidney Brasfield
• Timothy L Byers, MD
• Tammy Cairns, R.D.H., B.S.
• Cardinal Pathology, PC
• Julian Thomas Carrier, DO
• Gail Cattoor, LPN
• Centennial Home Care, LLC (Memorial Regional Health Home Health and Hospice)

• Mental Health Counselor in Craig, CO
• Providers in Craig, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.