Individual provider Active NPI

Jake Andrew Winchester, LPC, LAC

  • Professional Counselor
  • Aurora, CO
National Provider Identifier
1821440389
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0014820 Issued in CO
Practice address
1890 N Revere CT
Aurora, CO 80045-7464
Phone
(303) 724-4987
NPI assigned
Jul 8, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X ACD.0001051 CO
Mental Health Counselor 101YM0800X LPC.0014820 CO
Professional Counselor 101YP2500X LPC.0014820 CO Primary

Addresses

Primary practice location

1890 N Revere CT
Aurora, CO 80045-7464

Mailing address

10733 Kimball St
Parker, CO 80134-7616

Other practice location 1

2130 Stout St
Denver, CO 80205
Phone (303) 293-2220

Other practice location 2

10733 Kimball St
Parker, CO 80134-7616
Phone (308) 390-6586

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
I20240304004011 CO Practitioner - Mental Health Counselor 4688019375 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Physicians IncorporatedGroup PAC ID 3476465667, 3,189 clinicians

Practice addresses (Care Compare)

1890 N Revere CT
Cu Medicine Psych Anschutz Medical Campus
Aurora, CO 80045-2570
Phone (303) 724-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ACD.0001051COMDAddiction (Substance Use Disorder) Counselor
LPC.0014820COMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Poudre Valley Medical Group, LLC Current Accepting new patients
University Physicians Incorporated CurrentSince Dec 1, 2024 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Jan 8, 2024 Accepting new patients
University Physicians, Incorporated CurrentSince Dec 1, 2024 Accepting new patients

Locations

1890 N Revere Ct
Ste 5040
Aurora, CO 80045
Phone (303) 274-4716

1890 N Revere Ct
Aurora, CO 80045
Phone (303) 724-1000

12605 E 16th Ave
Aurora, CO 80045
Phone (720) 848-0006

13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

Dept 1061
Denver, CO 80256

Organizations & group practices 4

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": "1467936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1821440389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10733 KIMBALL ST",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801347616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 N REVERE CT",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800457464",
            "telephone_number": "303-724-4987"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2130 Stout St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "80205",
            "country_code": "US",
            "telephone_number": "303-293-2220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10733 Kimball St",
            "address_purpose": "LOCATION",
            "city": "Parker",
            "state": "CO",
            "postal_code": "801347616",
            "country_code": "US",
            "telephone_number": "308-390-6586",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINCHESTER",
        "first_name": "JAKE",
        "middle_name": "ANDREW",
        "credential": "LPC, LAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-08",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACD.0001051",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.0014820",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0014820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.