Carol Thayer Jaques, M.S., LPC, CACIII

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

5758 Issued in CO

Practice address

395 E Lionshead Cir
Vail, CO 81657-5354

Phone

(970) 476-0930

Fax

(970) 476-0535

NPI assigned

Oct 30, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Carol Thayer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1225324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280102400000",
    "number": "1548413859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816020040",
            "telephone_number": "970-945-2241",
            "fax_number": "970-945-5523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 E LIONSHEAD CIR",
            "city": "VAIL",
            "state": "CO",
            "postal_code": "816575354",
            "telephone_number": "970-476-0930",
            "fax_number": "970-476-0535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAQUES",
        "first_name": "CAROL",
        "middle_name": "THAYER",
        "name_prefix": "Ms.",
        "credential": "M.S., LPC, CACIII",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-30",
        "last_updated": "2010-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACC-6699",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "5758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "THAYER",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hannah Hover, PA
• Claire Hsing, PT, DPT
• Samuel Roswell Huntley, MD, MPH
• Taylor Hyde, DPT
• Nica Gabrielle Jacobson, PT, DPT
• Gina Jelacic
• Addison Rae Jones
• Jenna Lauren Jones, PT
• Justin M Moses DMD PLLC
• Emma Audrey Cannata Kellner, PT

• Professional Counselor in Vail, CO
• Providers in Vail, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.