Active NPI
Tammis Jahn
- Counselor
- Arvada, CO
National Provider Identifier
1619367802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 0104760
- Practice address
- 6475 Wadsworth Blvd
Suite 324
Arvada, CO 80003-4437 - Phone
- (303) 467-2624
- NPI assigned
- Jan 27, 2015
- Last updated
- Jan 27, 2015
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 0104760 | CO | Primary |
Addresses
Primary practice location
6475 Wadsworth Blvd
Suite 324
Arvada, CO 80003-4437
Mailing address
6475 Wadsworth Blvd
Suite 324
Arvada, CO 80003-4437
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 |
|---|---|---|---|
| 0104760 | CO | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422316800000",
"number": "1619367802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6475 WADSWORTH BLVD",
"address_2": "SUITE 324",
"city": "ARVADA",
"state": "CO",
"postal_code": "800034437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6475 WADSWORTH BLVD",
"address_2": "SUITE 324",
"city": "ARVADA",
"state": "CO",
"postal_code": "800034437",
"telephone_number": "303-467-2624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAHN",
"first_name": "TAMMIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-27",
"last_updated": "2015-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CO",
"license": "0104760",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arvada, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.