Active NPI
Jacqueline'S Counseling Services LLC
- Mental Health Counselor
- Grand Junction, CO
National Provider Identifier
1558082826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jacqueline Miller, MA, LPC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942655873 | Medicaid | CO |
Other names 1
- Jacqueline's Counseling Services LLC
National Provider Directory
National Provider DirectoryPractitioners & 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.