NPIMap

Organization Active NPI

Wendy Jayvanti LCSW PC

  • Mental Health Counselor
  • Aurora, CO
National Provider Identifier
1437323268
Registry record updated Apr 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
992394 Issued in CO
Legal business name
WENDY JAYVANTI LCSW PC
Practice address
390 South Potomac Street
Suite C
Aurora, CO 80012
Phone
(720) 273-0278
Fax
(303) 447-8008
NPI assigned
Apr 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2008

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

Authorized official

Name
Ms. Wendy Jayvanti, MSW
Title
LCSW
Phone
(720) 273-0278

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 992394 CO Primary

Addresses

Primary practice location

390 South Potomac Street
Suite C
Aurora, CO 80012

Mailing address

4490 Driftwood PL
Boulder, CO 80301-3175
Phone (720) 273-0278

Other identifiers 1

IdentifierTypeStateIssuer
C509458OtherCOMEDICARE ID NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208131200000",
    "number": "1437323268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4490 DRIFTWOOD PL",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803013175",
            "telephone_number": "720-273-0278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 SOUTH POTOMAC STREET",
            "address_2": "SUITE C",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "80012",
            "telephone_number": "720-273-0278",
            "fax_number": "303-447-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WENDY JAYVANTI LCSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-14",
        "last_updated": "2008-04-14",
        "status": "A",
        "authorized_official_last_name": "JAYVANTI",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "720-273-0278",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "992394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID NUMBER",
            "identifier": "C509458",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; 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.