Active NPI
Jane Davidson, MSW
- Marriage & Family Therapist
- Idaho Springs, CO
National Provider Identifier
1497034367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFT.0001218
- Practice address
- 1630 Miner St
Suite #208
Idaho Springs, CO 80452 - Phone
- (303) 519-1683
- NPI assigned
- Aug 10, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW0992357 | CO | |
| Marriage & Family Therapist | 106H00000X | MFT.0001218 | CO | Primary |
Addresses
Primary practice location
1630 Miner St
Suite #208
Idaho Springs, CO 80452
Mailing address
1630 Miner St
Suite #208
Idaho Springs, CO 80452
Phone (303) 519-1683
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW0992357 | CO | MD | Clinical Social Worker |
| MFT.0001218 | CO | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454630400000",
"number": "1497034367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1630 MINER ST",
"address_2": "SUITE #208",
"city": "IDAHO SPRINGS",
"state": "CO",
"postal_code": "80452",
"telephone_number": "303-519-1683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1630 MINER ST",
"address_2": "SUITE #208",
"city": "IDAHO SPRINGS",
"state": "CO",
"postal_code": "80452",
"telephone_number": "303-519-1683"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIDSON",
"first_name": "JANE",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-10",
"last_updated": "2016-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "CSW0992357",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CO",
"license": "MFT.0001218",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Idaho Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.