Individual provider Active NPI

Jenna Marie Gathright, LPCC, MFTC

  • Marriage & Family Therapist
  • Lakewood, CO
National Provider Identifier
1902773252
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFTC.0014888 Issued in CO
Practice address
12211 W Alameda Pkwy Ste 106
Lakewood, CO 80228-2867
Phone
(720) 551-4553
NPI assigned
Oct 21, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPCC.0023905 CO
Marriage & Family Therapist 106H00000X MFTC.0014888 CO Primary

Addresses

Primary practice location

12211 W Alameda Pkwy Ste 106
Lakewood, CO 80228-2867

Mailing address

1055 W Linco Rd
Stevensville, MI 49127-9469

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
LPCC.0023905COMDProfessional Counselor
MFTC.0014888COMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Self Care Impact Counseling LLC CurrentSince Nov 8, 2025 Accepting new patients

Locations

12211 W Alameda Pkwy
Ste 106
Lakewood, CO 80228
Phone (720) 336-9930

Organizations & group practices 1

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": "1761004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1902773252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 W LINCO RD",
            "city": "STEVENSVILLE",
            "state": "MI",
            "postal_code": "491279469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12211 W ALAMEDA PKWY STE 106",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802282867",
            "telephone_number": "720-551-4553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATHRIGHT",
        "first_name": "JENNA",
        "middle_name": "MARIE",
        "credential": "LPCC, MFTC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-21",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPCC.0023905",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "MFTC.0014888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2025; 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.