Active NPI
Lori Ellen Jackson, MA, MFT
- Case Manager/Care Coordinator
- Wheat Ridge, CO
National Provider Identifier
1659695070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- 11888
- Practice address
- 6625 W 26TH Ave
Wheat Ridge, CO 80214-8014 - Phone
- (720) 232-5908
- NPI assigned
- Mar 15, 2010
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 11888 | CO | Primary |
Addresses
Primary practice location
6625 W 26TH Ave
Wheat Ridge, CO 80214-8014
Mailing address
6625 W 26TH Ave
Wheat Ridge, CO 80214-8014
Phone (720) 232-5908
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11888 | CO | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307923200000",
"number": "1659695070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6625 W 26TH AVE",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "802148014",
"telephone_number": "720-232-5908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6625 W 26TH AVE",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "802148014",
"telephone_number": "720-232-5908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "LORI",
"middle_name": "ELLEN",
"credential": "MA, MFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-15",
"last_updated": "2011-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "CO",
"license": "11888",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wheat Ridge, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.