Individual provider Active NPI

Jessica Marie Ditty, MM, MT-BC

  • Music Therapist
  • Longmont, CO
National Provider Identifier
1578058012
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Music TherapistTaxonomy code 225A00000X
License
11114 Issued in CO
Practice address
1430 Nelson Rd Ste 221
Longmont, CO 80501-6399
Phone
(303) 349-8918
NPI assigned
Jun 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Music Therapist 225A00000X 11114 CO Primary

Addresses

Primary practice location

1430 Nelson Rd Ste 221
Longmont, CO 80501-6399

Mailing address

1430 Nelson Rd Ste 221
Longmont, CO 80501-6399
Phone (303) 349-8918

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

State licenses

LicenseStateTypeSpecialty
11114COMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Awake in Wellness Music Therapy, LLC Music Therapist CurrentSince Apr 9, 2023 Accepting new patients
Awake in Wellness, LLC Music Therapist Current Accepting new patients
Awake in Wellness, LLC Music Therapist CurrentSince Jun 11, 2023 Accepting new patients

Locations

1430 Nelson Rd
Ste 221
Longmont, CO 80501
Phone (303) 349-8918

Organizations & group practices 3

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": "1530057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1578058012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 NELSON RD STE 221",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016399",
            "telephone_number": "303-349-8918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 NELSON RD STE 221",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016399",
            "telephone_number": "303-349-8918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DITTY",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "credential": "MM, MT-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-27",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": "CO",
            "license": "11114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.