Individual provider Active NPI

Jana C Deardorff, LPC

  • Professional Counselor
  • Colorado Springs, CO
National Provider Identifier
1407940919
Registry record updated Dec 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
73664 Issued in TX
Practice address
1843 Austin Bluffs Pkwy
Colorado Springs, CO 80918
Phone
(719) 400-8578
Fax
(936) 271-4968
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 4549 SC
Professional Counselor 101YP2500X 14432 CO
Professional Counselor 101YP2500X 73664 TX Primary

Addresses

Primary practice location

1843 Austin Bluffs Pkwy
Colorado Springs, CO 80918

Mailing address

2214 Afton Way
Colorado Springs, CO 80909-2002
Phone (719) 400-8578

Other practice location 1

25511 Budde Rd Ste 1902
The Woodlands, TX 77380
Phone (936) 446-0212

Other practice location 2

1843 Austin Bluffs Pkwy
Colorado Springs, CO 80918
Phone (719) 400-8578

Other names 1

  • Jana C Sanders Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
14432COMDProfessional Counselor
73664TXMDProfessional Counselor
4549SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Deardorff LLC Mental Health Current Accepting new patients

Locations

1843 Austin Bluffs Pkwy
Colorado Springs, CO 80918
Phone (719) 291-9609

Organizations & group practices 1

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543881600000",
    "number": "1407940919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2214 AFTON WAY",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809092002",
            "telephone_number": "719-400-8578",
            "fax_number": "936-271-4968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1843 AUSTIN BLUFFS PKWY",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80918",
            "telephone_number": "719-400-8578",
            "fax_number": "936-271-4968"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25511 Budde Rd Ste 1902",
            "address_purpose": "LOCATION",
            "city": "The Woodlands",
            "state": "TX",
            "postal_code": "77380",
            "country_code": "US",
            "telephone_number": "936-446-0212",
            "fax_number": "936-271-4968",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1843 Austin Bluffs Pkwy",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "80918",
            "country_code": "US",
            "telephone_number": "719-400-8578",
            "fax_number": "936-271-4968",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEARDORFF",
        "first_name": "JANA",
        "middle_name": "C",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2018-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "4549",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "14432",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "73664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANA",
            "last_name": "SANDERS",
            "middle_name": "C",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2018; 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.