Individual provider Active NPI

Jeanne Ann Lefils, LCSW

  • Mental Health Counselor
  • Boulder, CO
National Provider Identifier
1386920775
Registry record updated Oct 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
980008 Issued in CO
Practice address
1735 Quince Ave
Boulder, CO 80304-1130
Phone
(303) 921-4632
NPI assigned
Oct 29, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 980008 CO Primary

Addresses

Primary practice location

1735 Quince Ave
Boulder, CO 80304-1130

Mailing address

1735 Quince Ave
Boulder, CO 80304-1130
Phone (303) 921-4632

Other names 1

  • Janaki Lefils Other name

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
I20120709000363 CO Practitioner - Clinical Social Worker 7416112925 Practice locations: Boulder, CO

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7438 Singing Hills CT
Boulder, CO 80301-3765
Phone (303) 921-4632

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
980008COMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1319846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319846400000",
    "number": "1386920775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 QUINCE AVE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803041130",
            "telephone_number": "303-921-4632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 QUINCE AVE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803041130",
            "telephone_number": "303-921-4632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEFILS",
        "first_name": "JEANNE",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-29",
        "last_updated": "2011-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "980008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANAKI",
            "last_name": "LEFILS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Boulder, CO

Sources for this page

Verify at the official NPI Registry.