Active NPI
Jessica Graves, MA, LPC, BCB
- Professional Counselor
- Denver, CO
National Provider Identifier
1770548638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0004449
- Practice address
- 2727 Bryant St Ste 510
Denver, CO 80211-4153 - Phone
- (720) 739-1711
- Fax
- (720) 739-1712
- NPI assigned
- Apr 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0004449 | CO | Primary |
Addresses
Primary practice location
2727 Bryant St Ste 510
Denver, CO 80211-4153
Mailing address
2727 Bryant St Ste 510
Denver, CO 80211-4153
Phone (720) 739-1711
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://hushforms.com/jessica2805 | Other |
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: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jan 23, 2024 through Jan 23, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0004449 | CO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724112000000",
"number": "1770548638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2727 BRYANT ST STE 510",
"city": "DENVER",
"state": "CO",
"postal_code": "802114153",
"telephone_number": "720-739-1711",
"fax_number": "720-739-1712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2727 BRYANT ST STE 510",
"city": "DENVER",
"state": "CO",
"postal_code": "802114153",
"telephone_number": "720-739-1711",
"fax_number": "720-739-1712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAVES",
"first_name": "JESSICA",
"name_prefix": "Ms.",
"credential": "MA, LPC, BCB",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-20",
"last_updated": "2024-08-20",
"certification_date": "2024-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "0004449",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://hushforms.com/jessica2805",
"affiliation": "N",
"endpointDescription": "Secure web form for receiving confidential client information",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Receiving confidential client information",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Protected health information",
"address_1": "2727 Bryant St Ste 510",
"city": "Denver",
"state": "CO",
"country_code": "US",
"postal_code": "802114153",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.