Active NPI
Jennifer Burch, LCSW, LAC
- Clinical Social Worker
- Aurora, CO
National Provider Identifier
1780130344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW.09925693
- Practice address
- 12400 E Jewell Ave Unit a
Aurora, CO 80012-5300 - Phone
- (303) 360-6276
- NPI assigned
- Sep 1, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW.09925693 | CO | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | ACD.0001765 | CO | |
| Mental Health Counselor | 101YM0800X | NLC.0107011 | CO |
Addresses
Primary practice location
12400 E Jewell Ave Unit a
Aurora, CO 80012-5300
Mailing address
7495 W 29TH Ave
Wheat Ridge, CO 80033-8002
Phone (303) 761-2153
Other practice location 1
2130 Stout St
Denver, CO 80205-2827
Phone (303) 312-9850
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ACD.0001765 | CO | MD | Addiction (Substance Use Disorder) Counselor |
| NLC.0107011 | CO | MD | Mental Health Counselor |
| CSW.09925693 | CO | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697414400000",
"number": "1780130344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7495 W 29TH AVE",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "800338002",
"telephone_number": "303-761-2153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12400 E JEWELL AVE UNIT A",
"city": "AURORA",
"state": "CO",
"postal_code": "800125300",
"telephone_number": "303-360-6276"
}
],
"practiceLocations": [
{
"address_1": "2130 Stout St",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802052827",
"country_code": "US",
"telephone_number": "303-312-9850",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURCH",
"first_name": "JENNIFER",
"credential": "LCSW, LAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-01",
"last_updated": "2023-10-16",
"certification_date": "2023-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "CSW.09925693",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CO",
"license": "ACD.0001765",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "NLC.0107011",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.