Individual provider Active NPI

Kerry Jessup, LPC, ATR-BC

  • Counselor
  • Denver, CO
National Provider Identifier
1851089569
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
0016185 Issued in CO
Practice address
3455 Ringsby CT Ste 140
Denver, CO 80216-5050
Phone
(720) 460-9084
NPI assigned
May 1, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 0016185 CO Primary

Addresses

Primary practice location

3455 Ringsby CT Ste 140
Denver, CO 80216-5050

Mailing address

1633 N Pearl St Apt 903
Denver, CO 80203-1664
Phone (574) 360-1741

Other practice location 1

3455 Ringsby Ct Ste 140
Denver, CO 80216-5050
Phone (720) 460-9084

Other practice location 2

12348 E Montview Blvd
Aurora, CO 80045-7103
Phone (574) 360-1741

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0016185COMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1851089569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 N PEARL ST APT 903",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802031664",
            "telephone_number": "574-360-1741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 RINGSBY CT STE 140",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802165050",
            "telephone_number": "720-460-9084"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3455 Ringsby Ct Ste 140",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802165050",
            "country_code": "US",
            "telephone_number": "720-460-9084",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12348 E Montview Blvd",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800457103",
            "country_code": "US",
            "telephone_number": "574-360-1741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JESSUP",
        "first_name": "KERRY",
        "credential": "LPC, ATR-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CO",
            "license": "0016185",
            "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 Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.