Organization Active NPI

Awareness Collaborative PLLC

  • Professional Counselor
  • Broomfield, CO
National Provider Identifier
1760140008
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
AWARENESS COLLABORATIVE PLLC
Practice address
12197 Applewood CT
Broomfield, CO 80020-7982
Phone
(720) 629-2729
Fax
(303) 389-6959
NPI assigned
Dec 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Authorized official

Name
Jamie Gibbs, MA, LPCNPI 1972907384
Title
Owner
Phone
(720) 629-2729

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

12197 Applewood CT
Broomfield, CO 80020-7982

Mailing address

PO Box 1929
Wheat Ridge, CO 80034-1929
Phone (720) 629-2729

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240411001540 CO Part B Supplier - Clinic/Group Practice 0648619536 Receives reassigned benefits from 1 practitioner
Practice locations: Aurora, CO

National Provider Directory

National Provider Directory

Locations

2851 S Parker Rd
Ph 15
Aurora, CO 80014

2821 S Parker Rd
Ph 15
Aurora, CO 80014
Phone (720) 629-2729

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1638489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738540800000",
    "number": "1760140008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1929",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800341929",
            "telephone_number": "720-629-2729",
            "fax_number": "303-389-6959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12197 APPLEWOOD CT",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800207982",
            "telephone_number": "720-629-2729",
            "fax_number": "303-389-6959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWARENESS COLLABORATIVE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-03",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-02",
        "status": "A",
        "authorized_official_last_name": "GIBBS",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-629-2729",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.