Individual provider Active NPI

Molly Jameson, BSW

  • Counselor
  • Colorado Springs, CO
National Provider Identifier
1730578394
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
038610788 Issued in CT
Practice address
4440 Barnes Rd Ste 100
Colorado Springs, CO 80917-1566
Phone
(719) 602-1342
Fax
(855) 719-2549
NPI assigned
Jan 20, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 038610788 CT Primary

Addresses

Primary practice location

4440 Barnes Rd Ste 100
Colorado Springs, CO 80917-1566

Mailing address

5585 Erindale Dr Ste 204
Colorado Springs, CO 80918-6969
Phone (719) 345-2424

Other practice location 1

9 Centennial Dr
Peabody, MA 01960-7939
Phone (978) 927-9410

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

LicenseStateTypeSpecialty
038610788CTMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Overcomers Counseling CurrentSince Oct 6, 2024 Accepting new patients
Overcomers Counseling Clinical PastSince Mar 5, 2023 Accepting new patients

Locations

5585 Erindale Dr
Ste 204
Colorado Springs, CO 80918
Phone (719) 345-2424

4440 Barnes Rd
Ste 100
Colorado Springs, CO 80917
Phone (719) 345-2424

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1421712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1730578394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5585 ERINDALE DR STE 204",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809186969",
            "telephone_number": "719-345-2424",
            "fax_number": "855-719-2549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 BARNES RD STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809171566",
            "telephone_number": "719-602-1342",
            "fax_number": "855-719-2549"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9 Centennial Dr",
            "address_purpose": "LOCATION",
            "city": "Peabody",
            "state": "MA",
            "postal_code": "019607939",
            "country_code": "US",
            "telephone_number": "978-927-9410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAMESON",
        "first_name": "MOLLY",
        "credential": "BSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-20",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CT",
            "license": "038610788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; 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.