Active NPI
Jordan Michelle Gough, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Denver, CO
National Provider Identifier
1790012029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APN.0999061-NP
- Practice address
- 950 S Cherry St Ste 1675
Denver, CO 80246-2532 - Phone
- (303) 558-6592
- Fax
- (720) 637-6635
- NPI assigned
- Nov 6, 2009
- Last updated
- Jan 18, 2025
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APN.0999061-NP | CO | Primary |
Addresses
Primary practice location
950 S Cherry St Ste 1675
Denver, CO 80246-2532
Mailing address
950 S Cherry St Ste 1675
Denver, CO 80246-2532
Phone (303) 558-6592
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 21, 2025 through Mar 21, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN.0999061-NP | CO | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Conscious Psychiatry, PLLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Wellness Psychiatry, PLLC | Past | Accepting new patients |
Locations
950 S Cherry St
Ste 1675
Denver, CO 80246
Phone (215) 586-3102
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Denver, CO
- NPI 1942176185
-
- Neurology Physician
- Lakewood, CO
- NPI 1356157838
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737158400000",
"number": "1790012029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 S CHERRY ST STE 1675",
"city": "DENVER",
"state": "CO",
"postal_code": "802462532",
"telephone_number": "303-558-6592",
"fax_number": "720-637-6635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 S CHERRY ST STE 1675",
"city": "DENVER",
"state": "CO",
"postal_code": "802462532",
"telephone_number": "303-558-6592",
"fax_number": "720-637-6635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOUGH",
"first_name": "JORDAN",
"middle_name": "MICHELLE",
"name_prefix": "Mrs.",
"credential": "PMHNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-06",
"last_updated": "2025-01-18",
"certification_date": "2025-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CO",
"license": "APN.0999061-NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Jan 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.