Organization Active NPI

Jacqueline'S Counseling Services LLC

  • Mental Health Counselor
  • Grand Junction, CO
National Provider Identifier
1558082826
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
JACQUELINE'S COUNSELING SERVICES LLC
Doing business as
Jacqueline's Counseling Services LLC
Practice address
1170 Colorado Ave
Grand Junction, CO 81501-3523
Phone
(970) 402-5613
NPI assigned
Sep 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2023

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

Authorized official

Name
Jacqueline Miller, MA, LPCNPI 1942655873
Title
Psychotherapist
Phone
(970) 402-5613

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1170 Colorado Ave
Grand Junction, CO 81501-3523

Mailing address

PO Box 251
Grand Junction, CO 81502-0251
Phone (970) 402-5613

Other identifiers 1

IdentifierTypeStateIssuer
1942655873MedicaidCO

Other names 1

  • Jacqueline's Counseling Services LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1662422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683158400000",
    "number": "1558082826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 251",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815020251",
            "telephone_number": "970-402-5613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 COLORADO AVE",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815013523",
            "telephone_number": "970-402-5613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQUELINE'S COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-06",
        "last_updated": "2023-05-04",
        "certification_date": "2022-09-14",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "970-402-5613",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942655873",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jacqueline's Counseling Services LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; 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.