Individual provider Active NPI

Jessica A Olguin, LPC

  • Professional Counselor
  • Littleton, CO
National Provider Identifier
1497361646
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0014170 Issued in CO
Practice address
6901 S Pierce St Ste 370
Littleton, CO 80128-7202
Phone
(720) 515-6385
NPI assigned
Sep 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X ACD.0000705 CO
Professional Counselor 101YP2500X LPC.0014170 CO Primary

Addresses

Primary practice location

6901 S Pierce St Ste 370
Littleton, CO 80128-7202

Mailing address

6901 S Pierce St Ste 370
Littleton, CO 80128-7202
Phone (720) 515-6385

Other identifiers 1

IdentifierTypeStateIssuer
9000211721MedicaidCO

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240627003525 CO Practitioner - Mental Health Counselor 7810431137 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Joyful Soul Counseling PLLCGroup PAC ID 1850835174, 2 clinicians

Practice addresses (Care Compare)

6901 S Pierce St
Suite 370
Littleton, CO 80128-7202
Phone (720) 515-6385

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ACD.0000705COMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Joyful Soul Counseling PLLC Addiction (Substance Use Disorder) CurrentSince Jun 1, 2024 Accepting new patients

Locations

6901 S Pierce St
Ste 337
Littleton, CO 80128
Phone (303) 933-1092

6901 S Pierce St
Ste 370
Littleton, CO 80128
Phone (303) 775-3684

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1497361646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6901 S PIERCE ST STE 370",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801287202",
            "telephone_number": "720-515-6385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 S PIERCE ST STE 370",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801287202",
            "telephone_number": "720-515-6385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLGUIN",
        "first_name": "JESSICA",
        "middle_name": "A",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-22",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACD.0000705",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0014170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000211721",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

Verify at the official NPI Registry.