DR. JESSICA YOUNG PAE (NPI# 1306186119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306186119 |
| Entity Type | Individual |
| Full Name | DR. JESSICA YOUNG PAE |
| Credential | PSY.D. |
| Practice Address |
7921 Southpark Plz Suite 204 Littleton CO 80120-5630 |
| Practice Telephone | 7204898555 |
| Practice Fax Number | 7204898304 |
| Mailing Telephone | 7204898555 |
| Mailing Fax Number | 7204898304 |
| Enumeration Date | 2013-02-15 |
| Last Update Date | 2013-05-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY.0003870 | CO | Behavioral Health & Social Service Providers |
| Street Address |
7921 SOUTHPARK PLZ SUITE 204 |
| City | LITTLETON |
| State | CO |
| Zip Code | 80120-5630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326121500 | Keith David Graves | Chiropractor | 7921 Southpark Plz, Suite 107, Littleton, CO 80120-5630 | 2006-10-23 |
| 1073024915 | Patricia Stout Ebel | Counselor | 7921 Southpark Plz, Littleton, CO 80120-5630 | 2017-10-18 |
| 1699107748 | Rebecca Lee Prince | Massage Therapist | 7921 Southpark Plz, Suite 107, Littleton, CO 80120-5630 | 2013-07-31 |
| 1568703841 | Victoria J Johnson | Social Worker | 7921 Southpark Plz, Suite 204, Littleton, CO 80120-5630 | 2013-03-11 |
| 1700126117 | Alexander Anthony Avila | Counselor | 7921 Southpark Plz, Suite 204, Littleton, CO 80120-5630 | 2013-02-21 |
| 1790025427 | Ken J Curry | Marriage & Family Therapist | 7921 Southpark Plz, Littleton, CO 80120-5630 | 2013-02-16 |
| 1861756348 | Hannah E Olds | Counselor | 7921 Southpark Plz, Suite 204, Littleton, CO 80120-5630 | 2012-06-28 |
| 1427339233 | Rebecca Marie Matson | Counselor | 7921 Southpark Plz, Suite 204, Littleton, CO 80120-5630 | 2011-09-07 |
| 1518286814 | Seaira Louise Caldwell | Massage Therapist | 7921 Southpark Plz, Suite 107, Littleton, CO 80120-5630 | 2010-05-26 |
| 1366683666 | Grace Counseling, Inc. | Marriage & Family Therapist | 7921 Southpark Plz, Suite 204, Littleton, CO 80120-5630 | 2009-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073156303 | Kelly Joy Brutsch | Counselor | 8191 Southpark Lane Suite 201, Littleton, CO 80120 | 2019-10-18 |
| 1902468309 | Infiniti Counseling, LLC | Clinic/Center | 4 W Dry Creek Circle, Littleton, CO 80120 | 2019-07-05 |
| 1437642642 | Brent Charles Mowery | Dentist | 209 W Littleton Blvd Ste B, Littleton, CO 80120 | 2018-06-12 |
| 1225525066 | Christopher Charles Miller | Counselor | 7851 S. Elati St., Suite 203, Littleton, CO 80120 | 2018-04-17 |
| 1417455890 | Cynthia Cline Mcrae | Counselor | 7921 Southpark Plaza, Grace Counseling, Suite 204, Littleton, CO 80120 | 2018-01-31 |
| 1780113175 | Janine Marie Lopez | Case Manager/Care Coordinator | 5500 S Sycamore, Littleton, CO 80120 | 2017-06-08 |
| 1952845588 | Hilary Sparrow Morris | Counselor | 991 Southpark Drive, #200, Cerescan, Littleton, CO 80120 | 2016-12-16 |
| 1760837132 | Supported Change,llc | Social Worker | 609 W Littleton Blvd Suite 201, Littleton, CO 80120 | 2016-05-04 |
| 1598123994 | Jarod Williams | Counselor | 8151 Southpark Ln Unit 250, Littleton, CO 80120 | 2016-02-01 |
| 1770948085 | Susan Jean Sylvester | Counselor | 609 West Littleton Blvd., Suite 201, Littleton, CO 80120 | 2015-12-31 |
| Find all providers in zip 80120 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427668797 | Colorado Mental Wellness Collective, Pllc | Psychologist | 5912 S Cody St Ste 110, Littleton, CO 80123-9541 | 2020-08-03 |
| 1205478302 | Heart Centered Counseling Inc | Psychologist | 5901 Middlefield Rd, Littleton, CO 80123-2887 | 2019-10-10 |
| 1023576899 | Mountain Psychology Group, Pllc | Psychologist | 111 Saranac St Ste 135, Littleton, NH 03561-4088 | 2019-03-11 |
| 1336633015 | Freedomchoice LLC | Psychologist | 6283 Lions Pt, Littleton, CO 80124-9527 | 2018-06-18 |
| 1285124461 | Ann Randolph Donald | Psychologist | 91 Matawanakee Trl, Littleton, MA 01460-1310 | 2018-05-14 |
| 1588099816 | Caroline Dorney Marvin | Psychologist | 304 Harwood Ave, Littleton, MA 01460-1625 | 2013-09-05 |
| 1144531906 | Rebekah Kilman | Psychologist | 111 Saranac St Ste 3, Littleton, NH 03561-4090 | 2010-06-27 |
| 1356541130 | Jeffrey Brian Caster | Psychologist | 1950 W Littleton Blvd, Littleton Station - Suite 117, Littleton, CO 80120-2023 | 2007-07-20 |
| 1619192267 | Frank J. Benison | Psychologist | 19 Lindenwood Dr, Littleton, CO 80120-4148 | 2007-04-16 |
| 1386789212 | Johanna Mieke Molnar Sandis | Psychologist | 9200 W Cross Dr Ste 225, Littleton, CO 80123-0700 | 2007-02-20 |
| Find all providers in LITTLETON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.