Intentional Living Counseling

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

290 Issued in CO

Legal business name

INTENTIONAL LIVING COUNSELING

Practice address

7851 S Elati St Ste 207
Littleton, CO 80120-8080

Phone

(303) 521-0147

Fax

(888) 598-3113

NPI assigned

Apr 7, 2015

Organization subpart

No

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

Authorized official

Name

Jennifer Ann Burns, LCSW

Title

Owner

Phone

(303) 521-0147

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1428364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644278400000",
    "number": "1467848465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3290 LYNWOOD AVE",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801268044",
            "telephone_number": "303-521-0147",
            "fax_number": "888-598-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7851 S ELATI ST STE 207",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801208080",
            "telephone_number": "303-521-0147",
            "fax_number": "888-598-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTENTIONAL LIVING COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-07",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-521-0147",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982745352",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Littleton, CO
• Providers in Littleton, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; 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.