Active NPI
Deardorff LLC
- Mental Health Counselor
- Colorado Springs, CO
National Provider Identifier
1801411681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- DEARDORFF LLC
- Practice address
- 1843 Austin Bluffs Pkwy
Colorado Springs, CO 80918-7857 - Phone
- (719) 400-8578
- Fax
- (936) 271-4968
- NPI assigned
- Jun 8, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jana Deardorff, MA, LPC,MAC,NCC
- Title
- Owner
- Phone
- (719) 400-8578
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1843 Austin Bluffs Pkwy
Colorado Springs, CO 80918-7857
Mailing address
1843 Austin Bluffs Pkwy
Colorado Springs, CO 80918-7857
Phone (719) 400-8578
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007 | Other | CO | 1407940919 |
Other names 2
- Jana Deardorff
- Jana Deardorff MA, LPC,
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591574400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1591574400000",
"number": "1801411681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1843 AUSTIN BLUFFS PKWY",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809187857",
"telephone_number": "719-400-8578",
"fax_number": "936-271-4968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1843 AUSTIN BLUFFS PKWY",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809187857",
"telephone_number": "719-400-8578",
"fax_number": "936-271-4968"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEARDORFF LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-08",
"last_updated": "2020-06-08",
"certification_date": "2020-06-08",
"status": "A",
"authorized_official_last_name": "DEARDORFF",
"authorized_official_first_name": "JANA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "719-400-8578",
"authorized_official_credential": "MA, LPC,MAC,NCC"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "1407940919",
"identifier": "1007",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Jana Deardorff",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "Jana Deardorff MA, LPC,",
"code": "4",
"type": "Former Legal Business Name"
}
]
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.