Individual provider Active NPI

Janice Martindale

  • Professional Counselor
  • Denver, CO
National Provider Identifier
1396336095
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0016702 Issued in CO
Practice address
2150 W 29TH Ave Ste 310
Denver, CO 80211-3889
Phone
(720) 923-3033
NPI assigned
Jan 27, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0016702 CO Primary

Addresses

Primary practice location

2150 W 29TH Ave Ste 310
Denver, CO 80211-3889

Mailing address

1030 E 10TH Ave Apt 201
Broomfield, CO 80020-1422
Phone (308) 660-1878

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
I20240401002599 CO Practitioner - Mental Health Counselor 3678911328 Reassigns benefits to 1 organization
Practice locations: Denver, CO

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brave Embodiment Counseling LLC Professional CurrentSince Mar 24, 2024 Accepting new patients
Brave Embodiment Counseling LLC Professional PastSince Jan 31, 2021 Accepting new patients

Locations

2590 Welton St
Ste 200
Denver, CO 80205
Phone (720) 499-9617

Organizations & group practices 2

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": "1611705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1396336095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 E 10TH AVE APT 201",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800201422",
            "telephone_number": "308-660-1878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 W 29TH AVE STE 310",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802113889",
            "telephone_number": "720-923-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINDALE",
        "first_name": "JANICE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-27",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "0016702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.