Jay D Fellers LCSW PC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

20081337835 Issued in CO

Legal business name

JAY D FELLERS LCSW PC

Practice address

2755 S Locust St
Suite 113
Denver, CO 80222-7126

Phone

(303) 947-4071

Fax

(303) 753-4650

NPI assigned

Feb 26, 2010

Last updated

Feb 26, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jay D Fellers, LCSWNPI 1932213576

Title

President

Phone

(303) 947-4071

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jay Daniel Fellers, L.C.S.W.

  • Clinical Social Worker
  • Denver, CO
  • NPI 1932213576
  Authorized official Same address or phone
• Ann L Karlberg, LCSW

  • Clinical Social Worker
  • Denver, CO
  • NPI 1790968006
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1267142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267142400000",
    "number": "1689996092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2755 S LOCUST ST",
            "address_2": "SUITE 113",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802227126",
            "telephone_number": "303-947-4071",
            "fax_number": "303-753-4650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2755 S LOCUST ST",
            "address_2": "SUITE 113",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802227126",
            "telephone_number": "303-947-4071",
            "fax_number": "303-753-4650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY D FELLERS LCSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-26",
        "last_updated": "2010-02-26",
        "status": "A",
        "authorized_official_last_name": "FELLERS",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-947-4071",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CO",
            "license": "20081337835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gwendolyn Jaussaud Musick
• Rossi Javernick
• Nicole A Javier
• Ruben Javier
• Michelle R Javorek
• Abigail Jay, PSYD
• Amie Pak Jaynes, PT, DPT
• Daniel A Jaynes
• Michael P Jaynes, LCSW
• Zachary M Jayson, PHARMD

• Community/Behavioral Health Agency in Denver, CO
• Providers in Denver, CO by specialty
• Community/Behavioral Health Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.