Individual provider Active NPI

Jacob Hanks

  • Psychologist
  • Glenwood Springs, CO
National Provider Identifier
1710540992
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY.0006904 Issued in CO
Practice address
1319 Grand Ave
Glenwood Springs, CO 81601-3842
Phone
(970) 260-0868
NPI assigned
Apr 15, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0015217 CO
Psychologist 103T00000X PSY.0006904 CO Primary

Addresses

Primary practice location

1319 Grand Ave
Glenwood Springs, CO 81601-3842

Mailing address

811 Grand Ave
Silt, CO 81652-9316
Phone (970) 260-0868

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231222000864 CO Practitioner - Mental Health Counselor 3072843168 Reassigns benefits to 1 organization
I20251029001048 CO Practitioner - Clinical Psychologist 3072843168 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY.0006904COMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Next Breath Psychology LLP CurrentSince Dec 1, 2025 Accepting new patients
Next Breath Counseling, LLC Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

1319 Grand Ave
Glenwood Springs, CO 81601
Phone (970) 260-0868

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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Next Breath Counseling, LLC 2 clinicians
Next Breath Psychology LLP 2 clinicians

Practice addresses (Care Compare)

1319 Grand Ave
Glenwood Springs, CO 81601-3842
Phone (970) 260-0868

NPI Registry JSON

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

{
    "created_epoch": "1555286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1710540992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 GRAND AVE",
            "city": "SILT",
            "state": "CO",
            "postal_code": "816529316",
            "telephone_number": "970-260-0868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 GRAND AVE",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816013842",
            "telephone_number": "970-260-0868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANKS",
        "first_name": "JACOB",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-15",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "0015217",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "PSY.0006904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenwood Springs, CO

Sources for this page

Verify at the official NPI Registry.