Organization Active NPI

Jessica R Mady

Doing business as Lissome Coaching & Counseling LLC

  • Clinical Social Worker
  • Durango, CO
National Provider Identifier
1487486627
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
JESSICA R MADY
Doing business as
Lissome Coaching & Counseling LLC
Practice address
2223 Main Ave Ste 106
Durango, CO 81301-4654
Phone
(970) 698-2378
NPI assigned
Aug 16, 2024
Last updated
Mar 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Authorized official

Name
Jessica MadyNPI 1447733266
Title
Owner
Phone
(970) 698-2378

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

2223 Main Ave Ste 106
Durango, CO 81301-4654

Mailing address

2257 Main Ave
Durango, CO 81301-4660
Phone (970) 698-2378

Other names 1

  • Lissome Coaching & Counseling LLC Doing business as

National Provider Directory

National Provider Directory

Locations

2223 Main Ave
Ste 106
Durango, CO 81301
Phone (970) 698-2378

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1723766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741910400000",
    "number": "1487486627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2257 MAIN AVE",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813014660",
            "telephone_number": "970-698-2378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2223 MAIN AVE STE 106",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813014654",
            "telephone_number": "970-698-2378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA R MADY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-16",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A",
        "authorized_official_last_name": "MADY",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-698-2378"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lissome Coaching & Counseling LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lissome Coaching & Counseling LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Durango, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; 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.