Active NPI
Charis Jaeger, MSW, LCSW
- Mental Health Counselor
- Evergreen, CO
National Provider Identifier
1942432802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- CSW.00002120
- Practice address
- 29893 Lee Rd
Evergreen, CO 80439-7245 - Phone
- (860) 550-2414
- NPI assigned
- Aug 11, 2009
- Last updated
- Feb 13, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | CSW.00002120 | CO | Primary |
Addresses
Primary practice location
29893 Lee Rd
Evergreen, CO 80439-7245
Mailing address
29893 Lee Rd
Evergreen, CO 80439-7245
Phone (860) 550-2414
Other practice location 1
1333 Iris Ave
Boulder, CO 80304-2226
Phone (303) 443-8500
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW.00002120 | CO | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613174400000",
"number": "1942432802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29893 LEE RD",
"city": "EVERGREEN",
"state": "CO",
"postal_code": "804397245",
"telephone_number": "860-550-2414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29893 LEE RD",
"city": "EVERGREEN",
"state": "CO",
"postal_code": "804397245",
"telephone_number": "860-550-2414"
}
],
"practiceLocations": [
{
"address_1": "1333 Iris Ave",
"address_purpose": "LOCATION",
"city": "Boulder",
"state": "CO",
"postal_code": "803042226",
"country_code": "US",
"telephone_number": "303-443-8500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JAEGER",
"first_name": "CHARIS",
"credential": "MSW, LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-11",
"last_updated": "2021-02-13",
"certification_date": "2021-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "CSW.00002120",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evergreen, CO
- Insight Psychology, LLC
- Insight Psychology, LLC
- Intermountain Medical Group Denver, LLC (SCL Health Heart & Vascular Institute - Evergreen)
- Riley Irwin, DPT
- Justin Jacapraro, DPT
- Sabrina Jahn, PT
- Janelle Jander
- Matthew Alan Jauregui, RMT
- Jefferson Center for Mental Health
- Jefferson Center for Mental Health
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.