Individual provider Active NPI

Jamie Gibbs, MA, LPC

  • Professional Counselor
  • Broomfield, CO
National Provider Identifier
1972907384
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
12790 Issued in CO
Practice address
12197 Applewood CT
Broomfield, CO 80020-7982
Phone
(720) 629-2729
NPI assigned
Oct 14, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 12790 CO Primary

Addresses

Primary practice location

12197 Applewood CT
Broomfield, CO 80020-7982

Mailing address

PO Box 1929
Wheat Ridge, CO 80034-1929
Phone (720) 629-2729

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
I20240411001639 CO Practitioner - Mental Health Counselor 1557700440 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2821 S Parker Rd
PH 15
Aurora, CO 80014-2739
Phone (720) 629-2729

PO Box
Suite 1929
Wheat Ridge, CO 80034-1929

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
12790COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Awareness Collaborative PLLC Professional CurrentSince Feb 25, 2024 Accepting new patients
Awareness Collaborative Professional CurrentSince Aug 1, 2021 Accepting new patients

Locations

14221 E 4th Ave
Ste 340
Aurora, CO 80011

2821 S Parker Rd
Ph 15
Aurora, CO 80014
Phone (720) 629-2729

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1413244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1972907384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1929",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800341929",
            "telephone_number": "720-629-2729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12197 APPLEWOOD CT",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800207982",
            "telephone_number": "720-629-2729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBS",
        "first_name": "JAMIE",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-14",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "12790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

Verify at the official NPI Registry.