Active NPI
Jason Ledlie, LPC
- Professional Counselor
- Woodland Park, CO
National Provider Identifier
1669020673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC.0014559
- Practice address
- 400 W Midland Ave Ste 200
Woodland Park, CO 80863-3199 - Phone
- (719) 922-3494
- NPI assigned
- Sep 3, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 | LPC.0014559 | CO | Primary |
Addresses
Primary practice location
400 W Midland Ave Ste 200
Woodland Park, CO 80863-3199
Mailing address
15463 W US Highway 24
Woodland Park, CO 80863-8723
Phone (979) 417-8930
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 |
|---|---|---|---|
| LPC.0014559 | CO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567468800000",
"number": "1669020673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15463 W US HIGHWAY 24",
"city": "WOODLAND PARK",
"state": "CO",
"postal_code": "808638723",
"telephone_number": "979-417-8930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 W MIDLAND AVE STE 200",
"city": "WOODLAND PARK",
"state": "CO",
"postal_code": "808633199",
"telephone_number": "719-922-3494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEDLIE",
"first_name": "JASON",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-09-03",
"last_updated": "2019-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "LPC.0014559",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodland Park, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.