Active NPI
Tessa Zajicek, LPC
- Professional Counselor
- Denver, CO
National Provider Identifier
1609613199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPCC.0021740
- Practice address
- 400 S Colorado Blvd Ste 530
Denver, CO 80246-1255 - Phone
- (720) 262-2644
- NPI assigned
- Jul 11, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPCC.0021740 | CO | Primary |
Addresses
Primary practice location
400 S Colorado Blvd Ste 530
Denver, CO 80246-1255
Mailing address
106 W Geneseo St
Lafayette, CO 80026-1632
Phone (707) 815-8826
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPCC.0021740 | CO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Collective Co LLC | Professional | Current | Accepting new patients |
Locations
3100 Arapahoe Ave
Ste 200
Boulder, CO 80303
Phone (303) 997-6621
400 S Colorado Blvd
Ste 530
Glendale, CO 80246
Phone (720) 316-0265
Organizations & group practices 1
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": "1720656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720656000000",
"number": "1609613199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 W GENESEO ST",
"city": "LAFAYETTE",
"state": "CO",
"postal_code": "800261632",
"telephone_number": "707-815-8826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 S COLORADO BLVD STE 530",
"city": "DENVER",
"state": "CO",
"postal_code": "802461255",
"telephone_number": "720-262-2644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAJICEK",
"first_name": "TESSA",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-11",
"last_updated": "2024-07-11",
"certification_date": "2024-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "LPCC.0021740",
"primary": true
}
],
"identifiers": [],
"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 Jul 11, 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.