Individual provider Active NPI

Jane Ann Irvine, M.A., M.A. CANDIDATE

  • Counselor
  • Centennial, CO
National Provider Identifier
1609008978
Registry record updated Aug 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
9650 Issued in CO
Practice address
6166 East Mineral Place
Centennial, CO 80112-3016
Phone
(303) 478-4600
NPI assigned
Aug 20, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 9650 CO Primary

Addresses

Primary practice location

6166 East Mineral Place
Centennial, CO 80112-3016

Mailing address

6166 East Mineral Place
Centennial, CO 80112-3016
Phone (303) 478-4600

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
9650COMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250726400000",
    "number": "1609008978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6166 EAST MINERAL PLACE",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123016",
            "telephone_number": "303-478-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6166 EAST MINERAL PLACE",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123016",
            "telephone_number": "303-478-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRVINE",
        "first_name": "JANE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "M.A., M.A. CANDIDATE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-20",
        "last_updated": "2009-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CO",
            "license": "9650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2009; 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.