Jade Recovery

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

JADE RECOVERY

Practice address

255 S Routt St Ste 265
Lakewood, CO 80228-2271

Phone

(833) 523-3669

NPI assigned

Apr 6, 2020

Organization subpart

No

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

Authorized official

Name

Jill Marie Gallegos, MFTC, LPCC

Title

Clinical Therapist

Phone

(833) 523-3669

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1586131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586131200000",
    "number": "1396374906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 S DEPEW ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802325860",
            "telephone_number": "720-965-7219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 S ROUTT ST STE 265",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802282271",
            "telephone_number": "833-523-3669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JADE RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-06",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A",
        "authorized_official_last_name": "GALLEGOS",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CLINICAL THERAPIST",
        "authorized_official_telephone_number": "833-523-3669",
        "authorized_official_credential": "MFTC, LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053957407",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Jacobson
• Taylor Jacobson
• David Isaiah Jacot-Guillarmod, DC
• Justin Gasper Jacques, MA, LPC, NCC
• Jade and Jinx Play Therapy and Trauma Center of Colorado, LLC
• Jade Recovery Inc
• Rajesh Jain, M.D.
• Dana James, MSN, RN
• Jason Gregory James
• Kimberly K James, CRNA

• Mental Health Counselor in Lakewood, CO
• Providers in Lakewood, 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 6, 2020; 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.