Active NPI
Jessica Louise Stackpool, LPC
- Mental Health Counselor
- Englewood, CO
National Provider Identifier
1770339228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC.0020570
- Practice address
- 2900 S Shoshone St
Englewood, CO 80110-1313 - Phone
- (303) 257-8891
- NPI assigned
- Apr 25, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC.0020570 | CO | Primary |
Addresses
Primary practice location
2900 S Shoshone St
Englewood, CO 80110-1313
Mailing address
6235 Sanders Rd
Evergreen, CO 80439-7107
Phone (303) 257-8891
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC.0020570 | CO | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714003200000",
"number": "1770339228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6235 SANDERS RD",
"city": "EVERGREEN",
"state": "CO",
"postal_code": "804397107",
"telephone_number": "303-257-8891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 S SHOSHONE ST",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801101313",
"telephone_number": "303-257-8891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STACKPOOL",
"first_name": "JESSICA",
"middle_name": "LOUISE",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-25",
"last_updated": "2024-04-25",
"certification_date": "2024-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "LPC.0020570",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Englewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.