JACKKY SIRICHANTHO (NPI# 1194331041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194331041 |
| Entity Type | Individual |
| Full Name | JACKKY SIRICHANTHO |
| Credential | M.A |
| Practice Address |
2755 S Locust St Ste 216 Denver CO 80222-7132 |
| Practice Telephone | 7202138378 |
| Mailing Telephone | 7202138378 |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2020-09-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 14905 | CO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 14905 | 14905 | 01 |
| Street Address |
2755 S LOCUST ST STE 216 |
| City | DENVER |
| State | CO |
| Zip Code | 80222-7132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629625389 | Vi-thuy Vo | Student in an Organized Health Care Education/Training Program | 4141 E Dickenson Pl # 264b, Denver, CO 80222 | 2019-08-19 |
| 1255827143 | Megan Whitehead | Nurse Practitioner | 2696 S Colorado Blvd Ste 110, Denver, CO 80222 | 2018-07-03 |
| 1255859732 | Kathleen Goldman | Occupational Therapist | 6343 E Girard Place, Unit 442, Denver, CO 80222 | 2017-09-05 |
| 1891213435 | Caron Cottman | Counselor | Maria Droste Counseling Center 1355 S Colorado Blvd., Denver, CO 80222 | 2017-09-04 |
| 1154846939 | Colorado Pain Practice, Pllc | Anesthesiology | 2696 S Colorado Blvd Ste 100, Denver, CO 80222 | 2017-08-14 |
| 1831610021 | Danielle V Jones | Counselor | 4141 E. Dickerson Place, Denver, CO 80222 | 2017-06-28 |
| 1629508247 | Capable Conversations, LLC | Speech-Language Pathologist | 3451 S Elm Street, Denver, CO 80222 | 2017-06-15 |
| 1235672031 | Julie Reichenberger, Ma, Lpc, Pllc | Counselor | 1780 South Bellaire Street, Suite 485, Denver, CO 80222 | 2016-11-28 |
| 1346797925 | Encompass Home Health of Colorado, LLC | Hospice Care, Community Based | 1355 S Colorado Blvd Ste 604, Denver, CO 80222 | 2016-09-01 |
| 1124574363 | Shannon Barfield | Case Manager/Care Coordinator | Mental Health Center of Denver 4141 E. Dickenson Pl, Denver, CO 80222 | 2016-08-28 |
| Find all providers in zip 80222 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245845866 | Lily Buthod | Counselor | 2512 S University Blvd Apt 504, Denver, CO 80210-6147 | 2020-09-10 |
| 1598379638 | Lauren Gardner | Counselor | 5100 Leetsdale Dr Apt 102, Denver, CO 80246-8131 | 2020-09-05 |
| 1588278048 | Cassandra Goar | Counselor | 8720 Franklin St, Denver, CO 80229-5051 | 2020-09-02 |
| 1689286486 | Kyle Holmes | Counselor | 4800 E Cherry Creek South Dr Apt B100, Denver, CO 80246-2297 | 2020-08-21 |
| 1780295766 | Tara Jean Barrett | Counselor | 3055 N Monroe St, Denver, CO 80205-4943 | 2020-08-12 |
| 1801407382 | Mary Emma Fawcett | Counselor | Tennyson Center for Children, 2950 Tennyson St, Denver, CO 80212 | 2020-08-10 |
| 1841800935 | Lucy Klein | Counselor | 530 25th St Apt 201, Denver, CO 80205-2959 | 2020-08-04 |
| 1063039048 | Senite Sahlezghi | Counselor | 6240 Smith Rd, Denver, CO 80216-4632 | 2020-06-25 |
| 1033734108 | Kelly Kreuzberger | Counselor | 1390 S Garfield St, Denver, CO 80210-2532 | 2020-06-14 |
| 1770108300 | Mary Kruger | Counselor | 30 S Utica St, Denver, CO 80219-1743 | 2020-06-09 |
| Find all providers in DENVER | ||||
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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.