Individual provider Active NPI

Jessica Burchinal

  • Professional Counselor
  • Greenwood Village, CO
National Provider Identifier
1760844773
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
.0013029 Issued in CO
Practice address
5101 S Dayton St
Greenwood Village, CO 80111-3413
Phone
(303) 653-3765
NPI assigned
Mar 28, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X .0013029 CO Primary

Addresses

Primary practice location

5101 S Dayton St
Greenwood Village, CO 80111-3413

Mailing address

2696 S Colorado Blvd Ste 380
Denver, CO 80222-5944

Other practice location 1

2696 S Colorado Blvd Ste 380
Denver, CO 80222-5944
Phone (303) 639-5240

Other practice location 2

18001 E Lehigh Pl
Aurora, CO 80013-3451
Phone (303) 653-3765

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
.0013029COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Counseling Center Multi-Specialty CurrentSince Jan 1, 2024 Accepting new patients

Locations

2696 S Colorado Blvd
Ste 380
Denver, CO 80222
Phone (303) 565-6103

7887 E Belleview Ave
Ste 1100
Englewood, CO 80111
Phone (303) 228-1649

5101 S Dayton St
Greenwood Village, CO 80111
Phone (303) 653-3765

8997 S Broadway
#C
Highlands Ranch, CO 80129

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1459123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1760844773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2696 S COLORADO BLVD STE 380",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802225944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 S DAYTON ST",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801113413",
            "telephone_number": "303-653-3765"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2696 S Colorado Blvd Ste 380",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802225944",
            "country_code": "US",
            "telephone_number": "303-639-5240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18001 E Lehigh Pl",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800133451",
            "country_code": "US",
            "telephone_number": "303-653-3765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURCHINAL",
        "first_name": "JESSICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-28",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": ".0013029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

Verify at the official NPI Registry.