Individual provider Active NPI

Cammy Jelinek

  • Mental Health Counselor
  • Greeley, CO
National Provider Identifier
1932607728
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
710 11TH Ave
Greeley, CO 80631-6405
Phone
(970) 888-3550
NPI assigned
Jan 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2021

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 Primary

Addresses

Primary practice location

710 11TH Ave
Greeley, CO 80631-6405

Mailing address

113 Silo CT
Mead, CO 80542-8801
Phone (815) 670-9188

Other practice location 1

4730 Table Mesa Dr
Boulder, CO 80305-5560
Phone (720) 408-0822

Other practice location 2

4730 Table Mesa Dr
Boulder, CO 80305-5560
Phone (720) 408-0822

Other practice location 3

3347 Longview Blvd
Longmont, CO 80504-6247
Phone (815) 670-9188

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

NPI Registry JSON

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

{
    "created_epoch": "1516924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1932607728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 SILO CT",
            "city": "MEAD",
            "state": "CO",
            "postal_code": "805428801",
            "telephone_number": "815-670-9188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 11TH AVE",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806316405",
            "telephone_number": "970-888-3550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4730 Table Mesa Dr",
            "address_purpose": "LOCATION",
            "city": "Boulder",
            "state": "CO",
            "postal_code": "803055560",
            "country_code": "US",
            "telephone_number": "720-408-0822",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4730 Table Mesa Dr",
            "address_purpose": "LOCATION",
            "city": "Boulder",
            "state": "CO",
            "postal_code": "803055560",
            "country_code": "US",
            "telephone_number": "720-408-0822",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3347 Longview Blvd",
            "address_purpose": "LOCATION",
            "city": "Longmont",
            "state": "CO",
            "postal_code": "805046247",
            "country_code": "US",
            "telephone_number": "815-670-9188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JELINEK",
        "first_name": "CAMMY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-26",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; 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.