Individual provider Active NPI

Jamie Gordon, LPC

  • Professional Counselor
  • Lakewood, CO
National Provider Identifier
1619408036
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0015430 Issued in CO
Practice address
10410 W Jewell Ave Apt B
Lakewood, CO 80232-6289
Phone
(847) 212-3472
NPI assigned
Mar 27, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC.0015430 CO Primary

Addresses

Primary practice location

10410 W Jewell Ave Apt B
Lakewood, CO 80232-6289

Mailing address

10410 W Jewell Ave Apt B
Lakewood, CO 80232-6289
Phone (847) 212-3472

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Center, LLC Mental Health CurrentSince Nov 18, 2024 Accepting new patients
Family Care Center, LLC CurrentSince Nov 18, 2024 Accepting new patients

Locations

2860 S Circle Dr
Ste 109
Colorado Springs, CO 80906
Phone 71954021004002

9135 Ridgeline Blvd
Ste 160
Highlands Ranch, CO 80129
Phone (303) 800-6093

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": "1490572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1619408036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10410 W JEWELL AVE APT B",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802326289",
            "telephone_number": "847-212-3472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10410 W JEWELL AVE APT B",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802326289",
            "telephone_number": "847-212-3472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "JAMIE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-27",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0015430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.