Individual provider Active NPI

Jon David Siegel, BA, MA COUNSELING

  • Professional Counselor
  • Montrose, CO
National Provider Identifier
1417616780
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
35 S Selig Ave
Montrose, CO 81401-3654
Phone
(970) 318-8189
NPI assigned
Dec 14, 2021
Last updated
Mar 26, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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 CO Primary

Addresses

Primary practice location

35 S Selig Ave
Montrose, CO 81401-3654

Mailing address

35 S Selig Ave
Montrose, CO 81401-3654

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
I20241218003259 CO Practitioner - Mental Health Counselor 1850828625 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lifespan Psychiatry of ColoradoGroup PAC ID 0749694495, 11 clinicians
Counseling Connection LLCGroup PAC ID 9830666049, 6 clinicians

Practice addresses (Care Compare)

2140 N 12TH St
Grand Junction, CO 81501-2916
Phone (970) 579-0003

236 Cottonwood St
Delta, CO 81416-4401
Phone (970) 579-0003

35 S Selig Ave
Montrose, CO 81401-3654
Phone (970) 318-8189

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Arts, Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan Psychiatry of Colorado Inc. CurrentSince Nov 1, 2024 Accepting new patients
United Family Center of Colorado CurrentSince Dec 21, 2021 Accepting new patients
Lifespan Psychiatry of Colorado Current Accepting new patients
Lifespan Psychiatry of Colorado CurrentSince Nov 1, 2024 Accepting new patients

Locations

236 Cottonwood St
Delta, CO 81416
Phone (970) 874-7681

555 Meeker St
Delta, CO 81416
Phone (970) 201-1467

2140 N 12th St
Grand Junction, CO 81501
Phone (970) 712-6059

2472 Patterson Rd
Unit 16
Grand Junction, CO 81505
Phone (970) 778-3030

637 North Ave
Grand Junction, CO 81501

300 N Townsend Ave
Montrose, CO 81401
Phone (970) 201-1467

195 S Lena St
Unit A
Ridgway, CO 81432
Phone (970) 626-3303

Organizations & group practices 5

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": "1639440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1417616780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 S SELIG AVE",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814013654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 S SELIG AVE",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814013654",
            "telephone_number": "970-318-8189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGEL",
        "first_name": "JON",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "BA, MA COUNSELING",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-14",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montrose, CO

Sources for this page

Verify at the official NPI Registry.