Jenna Derosa, MA, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0017099 Issued in CO

Practice address

4891 Independence St Ste 225
Wheat Ridge, CO 80033-6849

Phone

(402) 306-9552

NPI assigned

May 5, 2020

Last updated

Aug 29, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Emerald Rose Counseling & Psychiatry LLC

  dba Emerald Rose Counseling & Psychiatry

  • Adult Mental Health Clinic/Center
  • Wheat Ridge, CO
  • NPI 1508445123
  NPD
• Stephanie Camins Counseling

  • Professional Counselor
  • Arvada, CO
  • NPI 1124284641
  NPD (past)

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

{
    "created_epoch": "1588636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1770104325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4891 INDEPENDENCE ST STE 225",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336849",
            "telephone_number": "402-306-9552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4891 INDEPENDENCE ST STE 225",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336849",
            "telephone_number": "402-306-9552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEROSA",
        "first_name": "JENNA",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-05",
        "last_updated": "2023-08-29",
        "certification_date": "2021-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "0017099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denver Family Therapy Center Inc
• Denver Family Therapy Center Inc
• Denver West Physical Medicine
• Charles Anthony Depaolo III
• Gina M Depaulo
• Louis Anthony Derose, DDS
• Tristen J Dervish, DC
• Diana Marie Desantis, M.D.
• Jeffrey A Desjardin, MD
• Marielou Adela Desouza-Chen, M.S.P.T

• Mental Health Counselor in Wheat Ridge, CO
• Providers in Wheat Ridge, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.