Individual provider Active NPI

Ashley Jarvis, PSYD

  • Clinical Psychologist
  • Littleton, CO
National Provider Identifier
1801301817
Registry record updated Aug 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY.0004770 Issued in CO
Practice address
6507 S Santa Fe Dr
Littleton, CO 80120
Phone
(303) 730-8858
NPI assigned
Dec 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 004137 GA
Clinical Psychologist 103TC0700X PSY.0004770 CO Primary

Addresses

Primary practice location

6507 S Santa Fe Dr
Littleton, CO 80120

Mailing address

5912 S Cody St Ste 110
Littleton, CO 80123-9541
Phone (303) 872-9097

Other practice location 1

3405 Mike Padgett Hwy
Augusta, GA 30906-3815
Phone (706) 792-7122

Other practice location 2

3405 Mike Padgett Hwy
Augusta, GA 30906-3815
Phone (706) 792-7122

Other practice location 3

5912 S Cody St Ste 110
Littleton, CO 80123-9541
Phone (303) 872-9097

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180809000558 CO Practitioner - Clinical Psychologist 7911262225 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY.0004770COMDClinical Psychologist
004137GAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Mental Wellness Collective Clinical CurrentSince Aug 23, 2020 Accepting new patients
Arapahoe Mental Health Center, Inc Current Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince Feb 10, 2021 Accepting new patients
Arapahoe Mental Health Center, Inc CurrentSince Sep 9, 2019 Accepting new patients
Arapahoe Mental Health Center, Inc CurrentSince Sep 9, 2019 Accepting new patients

Locations

116 Inverness Dr E
Ste 105
Englewood, CO 80112

720 S Colorado Blvd
Ph N
Glendale, CO 80246
Phone (833) 988-0589

5912 S Cody St
Ste 110
Littleton, CO 80123
Phone (303) 872-9097

6507 S Santa Fe Dr
Littleton, CO 80120
Phone (303) 730-0797

6509 S Santa Fe Dr
Littleton, CO 80120
Phone (303) 730-3303

5524 S Prince St
Littleton, CO 80120
Phone (303) 730-0797

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1513123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597968000000",
    "number": "1801301817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5912 S CODY ST STE 110",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801239541",
            "telephone_number": "303-872-9097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6507 S SANTA FE DR",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "80120",
            "telephone_number": "303-730-8858"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3405 Mike Padgett Hwy",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309063815",
            "country_code": "US",
            "telephone_number": "706-792-7122",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3405 Mike Padgett Hwy",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309063815",
            "country_code": "US",
            "telephone_number": "706-792-7122",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5912 S Cody St Ste 110",
            "address_purpose": "LOCATION",
            "city": "Littleton",
            "state": "CO",
            "postal_code": "801239541",
            "country_code": "US",
            "telephone_number": "303-872-9097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JARVIS",
        "first_name": "ASHLEY",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-13",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "004137",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "PSY.0004770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

Verify at the official NPI Registry.