Active NPI
Jacob Michael Carlock, CPFS, QBHA
- Case Manager/Care Coordinator
- Lakewood, CO
National Provider Identifier
1699684209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 5400 W Cedar Ave
Lakewood, CO 80226-2429 - Phone
- (719) 464-3784
- NPI assigned
- Sep 2, 2026
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | CO | ||
| Case Manager/Care Coordinator | 171M00000X | CO | Primary |
Addresses
Primary practice location
5400 W Cedar Ave
Lakewood, CO 80226-2429
Mailing address
5400 W Cedar Ave
Lakewood, CO 80226-2429
Phone (719) 420-1347
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788307200000",
"number": "1699684209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5400 W CEDAR AVE",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802262429",
"telephone_number": "719-420-1347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5400 W CEDAR AVE",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802262429",
"telephone_number": "719-464-3784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLOCK",
"first_name": "JACOB",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "CPFS, QBHA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-09-02",
"last_updated": "2026-09-02",
"certification_date": "2026-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "CO",
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "CO",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.