JADE RECOVERY NPI 1396374906

NPI Information

NPI: 1396374906
Provider Name: JADE RECOVERY
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
255 S ROUTT ST STE 265
LAKEWOOD, CO
ZIP 80228
Phone: (833) 523-3669
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JADE RECOVERY is a mental health counselor in Lakewood, CO. JADE RECOVERY NPI is 1396374906. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

255 S ROUTT ST STE 265
LAKEWOOD, CO
ZIP 80228-271
Phone: (833) 523-3669

The provider's authorized official is Jill Marie Gallegos .
The authorized official title is Clinical Therapist and has the following contact phone number (833) 523-3669.

The enumeration date for this NPI number is 4/6/2020 and was last updated on 4/6/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1053957407	MEDICAID	COLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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