Active NPI
Jennifer Lynn Otto, M.ED.
- Professional Counselor
- Aurora, CO
National Provider Identifier
1487843058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC-5293
- Practice address
- 11059 E Bethany Dr
Ste 200
Aurora, CO 80014-2622 - Phone
- (303) 617-2300
- Fax
- (303) 617-2397
- NPI assigned
- Oct 19, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 00494 | MN | |
| Professional Counselor | 101YP2500X | LPC-5293 | CO | Primary |
Addresses
Primary practice location
11059 E Bethany Dr
Ste 200
Aurora, CO 80014-2622
Mailing address
11059 E Bethany Dr
Ste 200
Aurora, CO 80014-2622
Phone (303) 617-2300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00494 | MN | MD | Mental Health Counselor |
| LPC-5293 | CO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258070400000",
"number": "1487843058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11059 E BETHANY DR",
"address_2": "STE 200",
"city": "AURORA",
"state": "CO",
"postal_code": "800142622",
"telephone_number": "303-617-2300",
"fax_number": "303-617-2397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11059 E BETHANY DR",
"address_2": "STE 200",
"city": "AURORA",
"state": "CO",
"postal_code": "800142622",
"telephone_number": "303-617-2300",
"fax_number": "303-617-2397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTTO",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"credential": "M.ED.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-19",
"last_updated": "2009-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MN",
"license": "00494",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "LPC-5293",
"primary": true
}
],
"identifiers": [],
"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 Nov 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.