Jacquelyn Elaine Othon

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

SWC.0000001933 Issued in CO

Practice address

20971 E Smoky Hill Rd Ste 204
Aurora, CO 80015-5187

Phone

(720) 507-1755

NPI assigned

Jul 19, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1689724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1609556158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20971 E SMOKY HILL RD STE 204",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800155187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20971 E SMOKY HILL RD STE 204",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800155187",
            "telephone_number": "720-507-1755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTHON",
        "first_name": "JACQUELYN",
        "middle_name": "ELAINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-19",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "SWC.0000001933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alayna Otero-Valles
• Jesly Otero-Villafane
• Rhonda Otero-Wright, LPC
• Emily Otero
• Erica Eloisa Otero
• Otis DME LLC
• Sylvia Anna Otrusinik, PA
• Conner Ottinger
• Otto Chiropractic
• Gary Otto, DC

• Mental Health Counselor in Aurora, CO
• Providers in Aurora, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; 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.