Individual provider Active NPI

Jared R. Sahagun

  • Professional Counselor
  • Gunnison, CO
National Provider Identifier
1508137118
Registry record updated Mar 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC0012639 Issued in CO
Practice address
710 N Taylor St
Gunnison, CO 81230-2244
Phone
(970) 641-0229
Fax
(970) 641-2949
NPI assigned
Jan 13, 2012
Last updated
Mar 24, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC0012639 CO Primary
Mental Health Counselor 101YM0800X UT

Addresses

Primary practice location

710 N Taylor St
Gunnison, CO 81230-2244

Mailing address

PO Box 1208
Montrose, CO 81402-1208
Phone (970) 252-3200

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
I20240429002467 CO Practitioner - Mental Health Counselor 9537509252 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC0012639COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Gunnison Valley Hospital CurrentSince Mar 20, 2024 Accepting new patients
Gunnison Valley Hospital CurrentSince Mar 20, 2024 Accepting new patients
Gunnison Valley Hospital Current Accepting new patients
Gunnison Valley Hospital Current Accepting new patients

Locations

1 Western Way
#104
Gunnison, CO 81231
Phone (970) 648-7128

300 E Denver Ave
Gunnison, CO 81230
Phone (970) 641-1456

707 N Iowa St
Gunnison, CO 81230
Phone (970) 641-1771

711 N Taylor St
Gunnison, CO 81230
Phone (970) 641-1456

Interoperability endpoints

  • Direct secure messaging: jared.sahagun.1@11629.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1326412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490313600000",
    "number": "1508137118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1208",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814021208",
            "telephone_number": "970-252-3200",
            "fax_number": "970-252-3208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 N TAYLOR ST",
            "city": "GUNNISON",
            "state": "CO",
            "postal_code": "812302244",
            "telephone_number": "970-641-0229",
            "fax_number": "970-641-2949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAHAGUN",
        "first_name": "JARED",
        "middle_name": "R.",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-13",
        "last_updated": "2017-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC0012639",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gunnison, CO

Sources for this page

Verify at the official NPI Registry.