Jacqueline Leigh Maben, MA, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

NLC.0106180 Issued in CO

Practice address

1255 Lee St
Lakewood, CO 80215-4542

Phone

(720) 266-4444

NPI assigned

Oct 3, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Finding Hiawatha, PLLC

  • Mental Health Counselor
  • Lakewood, CO
  • NPI 1932726916
  Medicare reassignment NPD Authorized official
• Finding Hiawatha Ranch Inc

  • Mental Health Counselor
  • Lakewood, CO
  • NPI 1881216422
  NPD Authorized official
• Animal Assisted Therapy Programs of Colorado

  • Community/Behavioral Health Agency
  • Arvada, CO
  • NPI 1508285669
  NPD (past)

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

{
    "created_epoch": "1475452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558483200000",
    "number": "1447709308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 LEE ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802154542",
            "telephone_number": "720-530-7579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 LEE ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802154542",
            "telephone_number": "720-266-4444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7275 Kipling St",
            "address_purpose": "LOCATION",
            "city": "Arvada",
            "state": "CO",
            "postal_code": "800053857",
            "country_code": "US",
            "telephone_number": "720-266-4444 x20",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MABEN",
        "first_name": "JACQUELINE",
        "middle_name": "LEIGH",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-03",
        "last_updated": "2019-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "NLC.0106180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Elizabeth Lynn, DMD MSD
• Matthew Adam Lynn, MD
• Marcus Michael Lyon, D.O.
• M2 Solutions Inc
• Ling Ma, MD
• Mary Mabis
• Belinda Mabry, CSFA
• Madisen Macauley
• Lynsey Maccuish
• Katherine Macdowell, M.A., LPC, LAC

• 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 May 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.