Individual provider Active NPI

Heather Lynn Jones, M.D.

  • Child & Adolescent Psychiatry Physician
  • Boulder, CO
National Provider Identifier
1396941894
Registry record updated Feb 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
DR0066639 Issued in CO
Practice address
100 Arapahoe Ave Ste 12
Boulder, CO 80302-5862
Phone
(720) 515-2404
Fax
(720) 791-0459
NPI assigned
Jun 22, 2007
Last updated
Feb 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD28503 OR
Psychiatry Physician 2084P0800X A89846 CA
Child & Adolescent Psychiatry Physician 2084P0804X MD28503 OR
Child & Adolescent Psychiatry Physician 2084P0804X DR0066639 CO Primary

Addresses

Primary practice location

100 Arapahoe Ave Ste 12
Boulder, CO 80302-5862

Mailing address

100 Arapahoe Ave
Boulder, CO 80302-5854
Phone (720) 515-2404

Other identifiers 2

IdentifierTypeStateIssuer
500662069MedicaidOR
218715MedicaidOR

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231128003483 CO Practitioner - Psychiatry 8022027846 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of California, San Diego School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
LG Behavioral Health of Colorado LLCGroup PAC ID 5193111425, 6 clinicians

Practice addresses (Care Compare)

6950 E Belleview Ave
Suite 300
Greenwood Village, CO 80111-1629
Phone (303) 468-8018

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DR0066639COMDChild & Adolescent Psychiatry Physician
MD28503ORMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
LG Behavioral Health of Colorado LLC Psychiatry CurrentSince Oct 14, 2023 Accepting new patients
High Peaks TMS Psychiatry Current Accepting new patients

Locations

2095 W 6th Ave
Ste 106
Broomfield, CO 80020
Phone (303) 448-9713

6950 E Belleview Ave
Ste 300
Greenwood Village, CO 80111
Phone (303) 468-8018

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645142400000",
    "number": "1396941894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ARAPAHOE AVE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803025854",
            "telephone_number": "720-515-2404",
            "fax_number": "720-791-0459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ARAPAHOE AVE STE 12",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803025862",
            "telephone_number": "720-515-2404",
            "fax_number": "720-791-0459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "HEATHER",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-22",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "MD28503",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A89846",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "OR",
            "license": "MD28503",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CO",
            "license": "DR0066639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500662069",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "218715",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

Verify at the official NPI Registry.