Active NPI
J Lynn Rhodes, MA LPC
- Professional Counselor
- Greeley, CO
National Provider Identifier
1508955691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1018
- Practice address
- 3400 W 16TH St
BLDG 6 Ste K
Greeley, CO 80634-6862 - Phone
- (970) 346-9057
- Fax
- (970) 378-2506
- NPI assigned
- Oct 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1018 | CO | Primary |
Addresses
Primary practice location
3400 W 16TH St
BLDG 6 Ste K
Greeley, CO 80634-6862
Mailing address
1964 28TH Ave
Greeley, CO 80634-5719
Phone (970) 346-9057
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1018 | CO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508955691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1964 28TH AVE",
"city": "GREELEY",
"state": "CO",
"postal_code": "806345719",
"telephone_number": "970-346-9057",
"fax_number": "970-378-2506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 W 16TH ST",
"address_2": "BLDG 6 STE K",
"city": "GREELEY",
"state": "CO",
"postal_code": "806346862",
"telephone_number": "970-346-9057",
"fax_number": "970-378-2506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RHODES",
"first_name": "J",
"middle_name": "LYNN",
"credential": "MA LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "1018",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greeley, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.