Individual provider Active NPI

Jacie Vanderloo, LPC

  • Professional Counselor
  • Greenwood Village, CO
National Provider Identifier
1972210599
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0021708 Issued in CO
Practice address
6312 S Fiddlers Green Cir Ste 300E
Greenwood Village, CO 80111-4831
Phone
(720) 706-1119
NPI assigned
Nov 2, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 0020166 CO
Professional Counselor 101YP2500X 0021708 CO Primary

Addresses

Primary practice location

6312 S Fiddlers Green Cir Ste 300E
Greenwood Village, CO 80111-4831

Mailing address

6312 S Fiddlers Green Cir Ste 300E
Greenwood Village, CO 80111-4831
Phone (720) 706-1119

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

LicenseStateTypeSpecialty
0020166COMDProfessional Counselor
0021708COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Abounds Counseling Services PLLC Mental Health PastSince May 1, 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1667347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1972210599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6312 S FIDDLERS GREEN CIR STE 300E",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801114831",
            "telephone_number": "720-706-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6312 S FIDDLERS GREEN CIR STE 300E",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801114831",
            "telephone_number": "720-706-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERLOO",
        "first_name": "JACIE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-02",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CO",
            "license": "0020166",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "0021708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.