Active NPI
Jerred Endsley, LCSW
- Clinical Social Worker
- Grand Junction, CO
National Provider Identifier
1912302670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW.09925854
- Practice address
- 101 S 3Rd St Ste 300
Grand Junction, CO 81501-2416 - Phone
- (970) 680-5154
- NPI assigned
- Oct 23, 2014
- Last updated
- Sep 15, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 219103 | MA | |
| Clinical Social Worker | 1041C0700X | CSW.09925854 | CO | Primary |
Addresses
Primary practice location
101 S 3Rd St Ste 300
Grand Junction, CO 81501-2416
Mailing address
2340 Monument Rd
Grand Junction, CO 81507-2778
Phone (317) 938-3543
Other practice location 1
75 Fenwood Rd
Boston, MA 02115-6103
Phone (617) 626-9427
Other practice location 2
6055 Lehman Dr Ste 105
Colorado Springs, CO 80918-5486
Phone (719) 407-5364
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW.09925854 | CO | MD | Clinical Social Worker |
| 219103 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wet Mountain Counseling Services P.L.L.C. | Clinical | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Potential
- Clinical Psychologist
- Colorado Springs, CO
- NPI 1770352759
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757894400000",
"number": "1912302670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2340 MONUMENT RD",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815072778",
"telephone_number": "317-938-3543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 S 3RD ST STE 300",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815012416",
"telephone_number": "970-680-5154"
}
],
"practiceLocations": [
{
"address_1": "75 Fenwood Rd",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021156103",
"country_code": "US",
"telephone_number": "617-626-9427",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6055 Lehman Dr Ste 105",
"address_purpose": "LOCATION",
"city": "Colorado Springs",
"state": "CO",
"postal_code": "809185486",
"country_code": "US",
"telephone_number": "719-407-5364",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ENDSLEY",
"first_name": "JERRED",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-10-23",
"last_updated": "2025-09-15",
"certification_date": "2025-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "219103",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "CSW.09925854",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Junction, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.