Active NPI
Jamie L Staples, LPC, LAC
- Professional Counselor
- Greeley, CO
National Provider Identifier
1679979165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 11236 Hillcrest Dr Ste 114
Greeley, CO 80631-9392 - Phone
- (970) 460-4149
- NPI assigned
- Nov 10, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
11236 Hillcrest Dr Ste 114
Greeley, CO 80631-9392
Mailing address
11236 Hillcrest Dr
Greeley, CO 80631-9392
Phone (970) 460-4149
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 601202662 | Medicaid | CO | |
| 9000202590 | Medicaid | CO |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peaceful Paws Therapy, LLC | Current | Accepting new patients | |
| Healing Hooves Counseling LLC | Mental Health | Current | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Greeley, CO
- NPI 1790441442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668470400000",
"number": "1679979165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11236 HILLCREST DR",
"city": "GREELEY",
"state": "CO",
"postal_code": "806319392",
"telephone_number": "970-460-4149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11236 HILLCREST DR STE 114",
"city": "GREELEY",
"state": "CO",
"postal_code": "806319392",
"telephone_number": "970-460-4149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAPLES",
"first_name": "JAMIE",
"middle_name": "L",
"credential": "LPC, LAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-10",
"last_updated": "2022-11-15",
"certification_date": "2022-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "601202662",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9000202590",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greeley, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.