Active NPI
Jared R. Sahagun
- Professional Counselor
- Gunnison, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC0012639
- 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, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC0012639 | CO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gunnison Valley Hospital | Current | Accepting new patients | |
| Gunnison Valley Hospital | Current | 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
- 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.
-
- Critical Access Hospital
- Gunnison, CO
- NPI 1932109048
-
dba Gunnison Valley Behavioral Health Clinic WCU
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Gunnison, CO
- NPI 1033990064
-
dba Gunnison Valley Urgent Care Center
- Urgent Care Clinic/Center
- Gunnison, CO
- NPI 1477361228
-
dba Gunnison Valley Health Family Medicine Clinic
- Primary Care Clinic/Center
- Gunnison, CO
- NPI 1578997284
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.