Kristen Jackson, PSYCHOTHERAPIST

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

720 South Colorado Blvd.
North Tower # 1356
Glendale, CO 80246

Phone

(303) 931-0606

NPI assigned

Oct 1, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1633046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633046400000",
    "number": "1497427041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9753 E 60TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802382394",
            "telephone_number": "303-931-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 SOUTH COLORADO BLVD.",
            "address_2": "NORTH TOWER # 1356",
            "city": "GLENDALE",
            "state": "CO",
            "postal_code": "80246",
            "telephone_number": "303-931-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "KRISTEN",
        "credential": "PSYCHOTHERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-01",
        "last_updated": "2021-10-01",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Denver",
            "affiliation": "N",
            "address_1": "720 South Colorado Blvd.",
            "address_2": "North Tower # 1356",
            "city": "Glendale",
            "state": "CO",
            "country_code": "US",
            "postal_code": "80246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Mental Health Counselor in Glendale, CO
• Providers in Glendale, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2021; 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.