Individual provider Active NPI

Billie Jo McIntire, MA, LPC, LAC

  • Counselor
  • Denver, CO
National Provider Identifier
1881917656
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
10649 Issued in CO
Practice address
1001 E 62ND Ave Unit 436
Denver, CO 80216-1141
Phone
(970) 576-1717
NPI assigned
Mar 9, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 10649 CO Primary

Addresses

Primary practice location

1001 E 62ND Ave Unit 436
Denver, CO 80216-1141

Mailing address

1001 E. 62ND Avenue
# 436
Denver, CO 80216
Phone (720) 634-6796

Other names 1

  • Mrs. Billie Jo Jackson Former name

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
I20240212003640 CO Practitioner - Mental Health Counselor 3375986854 Practice locations: Denver, CO

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
10649COMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1881917656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 E. 62ND AVENUE",
            "address_2": "# 436",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80216",
            "telephone_number": "720-634-6796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E 62ND AVE UNIT 436",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802161141",
            "telephone_number": "970-576-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTIRE",
        "first_name": "BILLIE",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "MA, LPC, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-09",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CO",
            "license": "10649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BILLIE",
            "last_name": "JACKSON",
            "middle_name": "JO",
            "prefix": "MRS.",
            "credential": "MA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.