JORDAN LEANN LIDSTROM (NPI# 1780193755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780193755 |
Entity Type | Individual |
Full Name | JORDAN LEANN LIDSTROM |
Practice Address |
2450 S Vine Street Denver Co 80208 Denver CO 80208 |
Mailing Address |
2101 E Harvard Ave Apt 108 Denver CO 80210-5237 |
Practice Telephone | (303) 871-3626 |
Mailing Telephone | 7637422998 |
Enumeration Date | 2017-09-21 |
Last Update Date | 2018-09-26 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
1646 Elmira St, Aurora, CO 800102122 | 3036172300 | |
2450 S Vine Street Denver Co 80208, Denver, CO 80208 | (303) 871-3626 |
Street Address |
2450 S VINE STREET DENVER CO 80208 |
City | DENVER |
State | CO |
Zip Code | 80208 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912464777 | Colorado Seminary | Psychologist | 1999 E. Evans Avenue, Attn: Andi Pusavat, Krh Rm. 145, Denver, CO 80208 | 2019-02-27 |
1659855294 | Shannon K Foley | Counselor | 2450 S. Vine St., Denver, CO 80208 | 2018-09-19 |
1801395488 | Andrea Pusavat | Psychologist | 1999 E. Evans Ave., Denver, CO 80208 | 2018-02-08 |
1649641127 | Elizabeth Kunkle | Counselor | 2450 Vine St., Denver, CO 80208 | 2015-10-09 |
1841527298 | Nicole E Taylor | Psychologist | 2450 S. Vine Street, Denver, CO 80208 | 2009-11-05 |
1801950241 | Alan Joseph Kent | Psychologist | 2240 E. Buchtel Blvd. 3 North, Denver, CO 80208 | 2006-12-20 |
1568938470 | Stephen Michael Salazar | Counselor | 2450 S Vine Street, Denver, CO 80208 | 2018-10-17 |
1861977209 | Tal Zipora Ginsburg | Counselor | 2450 S Vine Street, Denver, CO 80208 | 2018-10-02 |
1205311545 | Jonathan Fricke | Counselor | 2450 S Vine Street, Denver, CO 80208 | 2018-10-02 |
1447735832 | Jerimi Vindua | Counselor | 2450 S Vine Street, Denver, CO 80208 | 2018-10-01 |
Find all providers in zip 80208 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194326116 | Krissy Marlene Ramsey | Counselor | 44 Cook St Ste 100, Denver, CO 80206-5823 | 2020-11-05 |
1528668795 | Laura Lynn Edwards | Counselor | 1001 E 62nd Ave Unit 590, Denver, CO 80216-1159 | 2020-10-27 |
1659970341 | Laura Virginia Karban Jochens | Counselor | 1805 S Bellaire St # 215-01, Denver, CO 80222-4305 | 2020-10-22 |
1740888163 | Maya Nath | Counselor | 1554 N Emerson St Unit 8, Denver, CO 80218-1450 | 2020-10-16 |
1174121347 | Alex Artio | Counselor | 9251 E 33rd Ave, Denver, CO 80238-3500 | 2020-10-11 |
1275149486 | Laura Kay Thompson | Counselor | 3333 Regis Blvd Ste 114, Denver, CO 80221-8926 | 2020-09-22 |
1063028637 | David Bryan Friedentag | Counselor | 3855 S Monaco Pkwy Apt 101, Denver, CO 80237-1207 | 2020-09-19 |
1699380980 | Gabrielle Whitney Kaufman | Counselor | 6300 E Hampden Ave Apt 2316, Denver, CO 80222-7688 | 2020-09-13 |
1205441185 | Noreen Gul Khan | Counselor | 1901 N Grant St Apt 1013, Denver, CO 80203-1583 | 2020-09-09 |
1396359436 | Kimberly Salazar | Counselor | 925 N Humboldt St Apt 316, Denver, CO 80218-3546 | 2020-09-05 |
Find all providers in DENVER |
Please comment or provide details below to improve the information on JORDAN LEANN LIDSTROM.
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.