Individual provider Active NPI

Jeffrey Michael Jorden, MA, LPC

  • Counselor
  • Lakewood, CO
National Provider Identifier
1568058535
Registry record updated Dec 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LPC.0013469 Issued in CO
Practice address
7175 W Jefferson Ave Ste 4000
Lakewood, CO 80235-2336
Phone
(303) 573-0839
NPI assigned
Dec 14, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LPC.0013469 CO Primary

Addresses

Primary practice location

7175 W Jefferson Ave Ste 4000
Lakewood, CO 80235-2336

Mailing address

7175 W Jefferson Ave Ste 4000
Lakewood, CO 80235-2336
Phone (303) 573-0839

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LPC.0013469COMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lifelong, Inc. CurrentSince Dec 16, 2020 Accepting new patients
Lifelong, Inc. CurrentSince Dec 16, 2020 Accepting new patients

Locations

7175 W Jefferson Ave
Ste 4000
Lakewood, CO 80235
Phone (303) 573-0839

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.

NPI Registry JSON

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

{
    "created_epoch": "1607904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607904000000",
    "number": "1568058535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7175 W JEFFERSON AVE STE 4000",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802352336",
            "telephone_number": "303-573-0839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7175 W JEFFERSON AVE STE 4000",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802352336",
            "telephone_number": "303-573-0839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDEN",
        "first_name": "JEFFREY",
        "middle_name": "MICHAEL",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-14",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CO",
            "license": "LPC.0013469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2020; 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.