Individual provider Active NPI

Jessie R Read, LPC

  • Mental Health Counselor
  • Denver, CO
National Provider Identifier
1609398890
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC.0017974 Issued in CO
Practice address
1001 E 62ND Ave Unit 2397
Denver, CO 80216-1363
Phone
(720) 722-3069
NPI assigned
Jul 10, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC.0017974 CO Primary

Addresses

Primary practice location

1001 E 62ND Ave Unit 2397
Denver, CO 80216-1363

Mailing address

1001 E 62ND Ave Unit 2397
Denver, CO 80216-1363
Phone (720) 722-3069

Other identifiers 1

IdentifierTypeStateIssuer
9000203041MedicaidCO

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
LPC.0017974COMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Serotiny Counseling Mental Health CurrentSince Feb 13, 2022 Accepting new patients
Serotiny Counseling Mental Health PastSince Jan 22, 2023 Accepting new patients

Locations

2727 Bryant St
Ste 500
Denver, CO 80211
Phone (636) 290-0469

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": "1499644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1609398890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 E 62ND AVE UNIT 2397",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802161363",
            "telephone_number": "720-722-3069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E 62ND AVE UNIT 2397",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802161363",
            "telephone_number": "720-722-3069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "READ",
        "first_name": "JESSIE",
        "middle_name": "R",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-10",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.0017974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000203041",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; 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.