Individual provider Active NPI

Jerred Endsley, LCSW

  • Clinical Social Worker
  • Grand Junction, CO
National Provider Identifier
1912302670
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09925854 Issued in CO
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, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
CSW.09925854COMDClinical Social Worker
219103MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Wet Mountain Counseling Services P.L.L.C. Clinical PastSince Sep 21, 2025 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.

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.

Verify at the official NPI Registry.