Individual provider Active NPI

Jontay Jongsma, LPC

  • Mental Health Counselor
  • Grand Junction, CO
National Provider Identifier
1922572155
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC.0018454 Issued in CO
Practice address
2695 Patterson Rd Ste 2-185
Grand Junction, CO 81506-8814
Phone
(970) 315-2147
NPI assigned
Jan 22, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPCC.0017514 CO
Mental Health Counselor 101YM0800X LPC.0018454 CO Primary

Addresses

Primary practice location

2695 Patterson Rd Ste 2-185
Grand Junction, CO 81506-8814

Mailing address

2695 Patterson Rd Ste 2-185
Grand Junction, CO 81506-8814
Phone (970) 315-2147

Other identifiers 1

IdentifierTypeStateIssuer
9000206938MedicaidCO

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
I20240703000911 CO Practitioner - Mental Health Counselor 4688118417 Practice locations: Grand Junction, CO

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC.0018454COMDMental Health Counselor
LPCC.0017514COMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1548115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1922572155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2695 PATTERSON RD STE 2-185",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815068814",
            "telephone_number": "970-315-2147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2695 PATTERSON RD STE 2-185",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815068814",
            "telephone_number": "970-315-2147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONGSMA",
        "first_name": "JONTAY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-22",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPCC.0017514",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.0018454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000206938",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

Verify at the official NPI Registry.