Individual provider Active NPI

Jonathan Sargent

  • Mental Health Counselor
  • Colorado Springs, CO
National Provider Identifier
1912325739
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC.0016152 Issued in CO
Practice address
803 San Bruno PL
Colorado Springs, CO 80906-4909
Phone
(719) 540-5482
NPI assigned
Mar 29, 2014
Last updated
Jan 11, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC.0016152 CO Primary

Addresses

Primary practice location

803 San Bruno PL
Colorado Springs, CO 80906-4909

Mailing address

803 San Bruno PL
Colorado Springs, CO 80906-4909

Other practice location 1

1322 N Academy Blvd
Ste 105
Colorado Springs, CO 80909-3317
Phone (719) 540-5482

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
I20240614001451 CO Practitioner - Mental Health Counselor 8921541210 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC.0016152COMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind Provider Network LLC Professional CurrentSince May 25, 2024 Accepting new patients
Mental Health Specialty Group PA Mental Health CurrentSince Jun 1, 2025 Accepting new patients

Locations

1560 Broadway
Denver, CO 80202
Phone (623) 363-6103

720 S Colorado Blvd
Ph N
Glendale, CO 80246
Phone (833) 988-0589

3597 E Monarch Sky Ln
Ste 240
Meridian, ID 83646
Phone (208) 996-3519

Organizations & group practices 2

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": "1396051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1912325739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 SAN BRUNO PL",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809064909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 SAN BRUNO PL",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809064909",
            "telephone_number": "719-540-5482"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1322 N Academy Blvd",
            "address_2": "Ste 105",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809093317",
            "country_code": "US",
            "telephone_number": "719-540-5482",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SARGENT",
        "first_name": "JONATHAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-29",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.0016152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.