Individual provider Active NPI

Jessica M Boettiger

  • Professional Counselor
  • Lakewood, CO
National Provider Identifier
1780177204
Registry record updated Oct 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0018162 Issued in CO
Practice address
1651 Kendall St
Lakewood, CO 80214-1412
Phone
(303) 232-4002
NPI assigned
Jun 9, 2018
Last updated
Oct 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC.0018162 CO Primary

Addresses

Primary practice location

1651 Kendall St
Lakewood, CO 80214-1412

Mailing address

1651 Kendall St
Lakewood, CO 80214-1412
Phone (303) 232-4002

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
LPCC.0016069COMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Reflective Wellness Mind and Body Mental Health CurrentSince Jun 19, 2024 Accepting new patients
Thrive Counseling LLC Mental Health CurrentSince Sep 10, 2024 Accepting new patients

Locations

1230 Tenderfoot Hill Rd
Ste 305
Colorado Springs, CO 80906
Phone (719) 203-2014

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1528502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792108800000",
    "number": "1780177204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1651 KENDALL ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802141412",
            "telephone_number": "303-232-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 KENDALL ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802141412",
            "telephone_number": "303-232-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOETTIGER",
        "first_name": "JESSICA",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-09",
        "last_updated": "2026-10-16",
        "certification_date": "2026-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0018162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.