Active NPI
Jeremy Robert Allen, LPC
- Mental Health Counselor
- Wheat Ridge, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC15069
- Practice address
- 5181 Ward Rd
Ste 206
Wheat Ridge, CO 80033-1925 - Phone
- (720) 724-6813
- Fax
- (720) 828-6114
- NPI assigned
- Dec 3, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | WA61181852 | WA | |
| Mental Health Counselor | 101YM0800X | LPC15069 | CO | Primary |
Addresses
Primary practice location
5181 Ward Rd
Ste 206
Wheat Ridge, CO 80033-1925
Mailing address
5181 Ward Rd
Ste 206
Wheat Ridge, CO 80033-1925
Phone (720) 724-6813
Other practice location 1
4301 S Pine St Ste 17
Tacoma, WA 98409-7252
Phone (253) 313-2438
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5181 Ward Rd
Unit 206
Wheat Ridge, CO 80033-1925
Phone (720) 724-6813
5181 Ward Rd Unit
Suite 206
Wheat Ridge, CO 80033-1925
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC15069 | CO | MD | Mental Health Counselor |
| WA61181852 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Front Range Family Resource Center LLC | Mental Health | Current | Accepting new patients |
| Emerald Isle Health and Wellness | Current | Accepting new patients |
Locations
5181 Ward Rd
Unit 201
Wheat Ridge, CO 80033
Phone (303) 520-7300
5181 Ward Rd
Unit 206
Wheat Ridge, CO 80033
Phone (720) 315-0123
4301 S Pine St
Ste 17
Tacoma, WA 98409
Phone (253) 313-2438
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Wheat Ridge, CO
- NPI 1528586120
-
- Group Psychotherapy Psychologist
- Tacoma, WA
- NPI 1639826837
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714608000000",
"number": "1558768747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5181 WARD RD",
"address_2": "STE 206",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "800331925",
"telephone_number": "720-724-6813",
"fax_number": "720-828-6114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5181 WARD RD",
"address_2": "STE 206",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "800331925",
"telephone_number": "720-724-6813",
"fax_number": "720-828-6114"
}
],
"practiceLocations": [
{
"address_1": "4301 S Pine St Ste 17",
"address_purpose": "LOCATION",
"city": "Tacoma",
"state": "WA",
"postal_code": "984097252",
"country_code": "US",
"telephone_number": "253-313-2438",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALLEN",
"first_name": "JEREMY",
"middle_name": "ROBERT",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-12-03",
"last_updated": "2024-05-02",
"certification_date": "2024-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "WA61181852",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "LPC15069",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wheat Ridge, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.