Individual provider Active NPI

Jesse Wretlind

  • Professional Counselor
  • Colorado Springs, CO
National Provider Identifier
1538720339
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC0018519 Issued in CO
Practice address
2140 Academy Cir Ste a
Colorado Springs, CO 80909-1673
Phone
(719) 425-9630
NPI assigned
Jun 24, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC0018519 CO Primary

Addresses

Primary practice location

2140 Academy Cir Ste a
Colorado Springs, CO 80909-1673

Mailing address

2140 Academy Cir Ste a
Colorado Springs, CO 80909-1673
Phone (719) 425-9630

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL SimplePractice Direct

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
I20240627002239 CO Practitioner - Mental Health Counselor 3870037179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2140 Academy Cir
Suite a
Colorado Springs, CO 80909-1673
Phone (719) 425-9630

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC0018519COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hopeful Springs Counseling LLC Professional CurrentSince May 16, 2024 Accepting new patients

Locations

2140 Academy Cir
Ste A
Colorado Springs, CO 80909
Phone (719) 425-9630

Organizations & group practices 1

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": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1538720339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 ACADEMY CIR STE A",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809091673",
            "telephone_number": "719-425-9630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 ACADEMY CIR STE A",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809091673",
            "telephone_number": "719-425-9630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRETLIND",
        "first_name": "JESSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-24",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC0018519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "SimplePractice",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2140 Academy Cir Ste A",
            "city": "Colorado Springs",
            "state": "CO",
            "country_code": "US",
            "postal_code": "809091673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.