Individual provider Active NPI

Jennifer A Thorstad, LPC (COLORADO)

  • Professional Counselor
  • Denver, CO
National Provider Identifier
1528362209
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC0013309 Issued in CO
Practice address
1754 N Lafayette St
Denver, CO 80218-1117
Phone
(303) 989-5534
NPI assigned
Jan 10, 2011
Last updated
Mar 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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 8088 NC
Professional Counselor 101YP2500X LPC0013309 CO Primary

Addresses

Primary practice location

1754 N Lafayette St
Denver, CO 80218-1117

Mailing address

1754 N Lafayette St
Denver, CO 80218-1117
Phone (303) 989-5534

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
I20240424000711 CO Practitioner - Mental Health Counselor 4486093457 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1754 N Lafayette St
Denver, CO 80218-1117
Phone (303) 989-5534

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC0013309COMDProfessional Counselor
8088NCMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Roads and Rivers Therapeutic Services Professional Current Accepting new patients
Roads and Rivers Therapeutic Services Professional CurrentSince Feb 13, 2024 Accepting new patients
Roads and Rivers Therapeutic Services Professional Past Accepting new patients

Locations

12835 E Arapahoe Rd
Ste P850
Centennial, CO 80112
Phone (970) 946-8737

1754 N Lafayette St
Denver, CO 80218
Phone (303) 474-4193

8000 E Prentice Ave
Ste B2
Greenwood Village, CO 80111
Phone (720) 593-0847

3333 S Wadsworth Blvd
Unit D201
Lakewood, CO 80227
Phone (303) 949-2726

Organizations & group practices 3

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": "1294617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1528362209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1754 N LAFAYETTE ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181117",
            "telephone_number": "303-989-5534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1754 N LAFAYETTE ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181117",
            "telephone_number": "303-989-5534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORSTAD",
        "first_name": "JENNIFER",
        "middle_name": "A",
        "credential": "LPC (COLORADO)",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-10",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "8088",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC0013309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.