Active NPI
James Kennedy Orsund, LCSW
- Mental Health Counselor
- Evergreen, CO
National Provider Identifier
1679644355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 3082 Evergreen Pkwy Ste D
Evergreen, CO 80439-7968 - Phone
- (720) 289-1703
- NPI assigned
- Nov 13, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW.00000126 | CO | |
| Mental Health Counselor | 101YM0800X | CO | Primary |
Addresses
Primary practice location
3082 Evergreen Pkwy Ste D
Evergreen, CO 80439-7968
Mailing address
PO Box 1124
Evergreen, CO 80437-1124
Phone (720) 289-1703
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 |
|---|---|---|---|
| CSW.00000126 | CO | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714435200000",
"number": "1679644355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1124",
"city": "EVERGREEN",
"state": "CO",
"postal_code": "804371124",
"telephone_number": "720-289-1703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3082 EVERGREEN PKWY STE D",
"city": "EVERGREEN",
"state": "CO",
"postal_code": "804397968",
"telephone_number": "720-289-1703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORSUND",
"first_name": "JAMES",
"middle_name": "KENNEDY",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-13",
"last_updated": "2024-04-30",
"certification_date": "2023-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "CSW.00000126",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Evergreen, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.