JENNA MARIE BLAKELY (NPI# 1528545910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528545910 |
| Entity Type | Individual |
| Full Name | JENNA MARIE BLAKELY |
| Practice Address |
4851 Independence St Wheat Ridge CO 80033-6715 |
| Practice Telephone | 3034250300 |
| Mailing Telephone | 3034250300 |
| Enumeration Date | 2018-07-27 |
| Last Update Date | 2018-07-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| Street Address |
4851 INDEPENDENCE ST |
| City | WHEAT RIDGE |
| State | CO |
| Zip Code | 80033-6715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073573457 | Maribeth Eileen Flanagan | Counselor | 4851 Independence St, Suite 200, Wheat Ridge, CO 80033-6715 | 2006-03-28 |
| 1215537055 | Taylor Hilton | Social Worker | 4851 Independence St, Wheat Ridge, CO 80033-6715 | 2020-10-30 |
| 1326647660 | Carly Jones | Social Worker | 4851 Independence St, Wheat Ridge, CO 80033-6715 | 2020-10-19 |
| 1760080139 | Sarah Greenbaum | Counselor | 4851 Independence St, Wheat Ridge, CO 80033-6715 | 2020-10-16 |
| 1700483526 | Barrette Anne Keeffe | Case Manager/Care Coordinator | 4851 Independence St, Wheat Ridge, CO 80033-6715 | 2020-10-05 |
| 1871190603 | Tammy Schreckengast | Counselor | 4851 Independence St, Wheat Ridge, CO 80033-6715 | 2020-10-05 |
| 1063019206 | Jessica Allen | Social Worker | 4851 Independence St, Wheat Ridge, CO 80033-6715 | 2020-10-01 |
| 1811594930 | David Joel Urbont | Counselor | 4851 Independence St, Wheat Ridge, CO 80033-6715 | 2020-10-01 |
| 1114534302 | Taylor A Evergreen | Social Worker | 4851 Independence St, Wheat Ridge, CO 80033-6715 | 2020-09-30 |
| 1477169126 | Jennifer Jordan | Counselor | 4851 Independence St, Wheat Ridge, CO 80033-6715 | 2020-09-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154893915 | Bronwyn Hockersmith | Counselor | 3954 Yosemite St, Wheat Ridge, CO 80033 | 2018-12-18 |
| 1902392004 | Thousand Peaks Healthcare, Inc. | In Home Supportive Care | 4891 Independence St Ste 285, Wheat Ridge, CO 80033 | 2018-07-02 |
| 1528586120 | Front Range Family Resource Center | Marriage & Family Therapist | 5181 Ward St Ste 201, Wheat Ridge, CO 80033 | 2017-09-03 |
| 1962920918 | Dianna Lee Cordero | Counselor | 4931 Garrison St., Apt 104, Wheat Ridge, CO 80033 | 2017-08-30 |
| 1396261525 | Lauren Faye Petasne | Nurse Practitioner | 7100 W 44th Ave Ste 101a, Wheat Ridge, CO 80033 | 2017-08-18 |
| 1558802421 | Elizabeth Ann Huddleston | Nurse Practitioner | 3400 N Lutheran Pkwy, Wheat Ridge, CO 80033 | 2017-03-13 |
| 1053777045 | Richard Kerry Brandow | Counselor | 16625 W 50th Ave., Golden, CO 80033 | 2016-01-07 |
| 1831562131 | Eternal Life Care Centers, LLC | Assisted Living Facility | 4370 Ingalls Street, Wheat Ridge, CO 80033 | 2015-11-09 |
| 1740663483 | Real Care, Inc. | Private Vehicle | 10200 West 44th Ave, Suite 200, Wheat Ridge, CO 80033 | 2015-06-30 |
| 1508254848 | Pamela June Weitzel | Midwife | 3555 Lutheran Parkway Suite 210, Wheat Ridge, CO 80033 | 2015-01-08 |
| Find all providers in zip 80033 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649760190 | Nu Dawn Counseling Center LLC | Psychologist | 4045 Wadsworth Blvd Ste 308, Wheat Ridge, CO 80033-4626 | 2018-05-10 |
| 1083829055 | Gayle Ann Civish | Psychologist | 10200 W 44th Ave, Suite 210-b, Wheat Ridge, CO 80033-2837 | 2007-05-13 |
| 1487799821 | Scott Michael Sorensen | Psychologist | 4380 Harlan St Ste 200, Wheat Ridge, CO 80033-5137 | 2007-02-21 |
| 1326190083 | David Gage Mirich | Psychologist | 2860 Ames St, Wheat Ridge, CO 80214-8520 | 2007-01-16 |
| 1437769379 | Renae Beth Stigler | Psychologist | 4851 Independence St, Wheat Ridge, CO 80033-6715 | 2020-08-05 |
| 1386294536 | Evelyn Ohaus | Psychologist | 4851 Independence St, Wheat Ridge, CO 80033-6715 | 2019-09-18 |
| 1366924920 | Gesa Maria Kohlmeier | Psychologist | 4851 Independence St, Wheat Ridge, CO 80033-6715 | 2018-08-30 |
| 1821524505 | Active Talks LLC | Psychologist | 6101 W 38th Ave, Wheat Ridge, CO 80033-5146 | 2017-05-02 |
| 1457805640 | Wendy Morrison | Psychologist | 4851 Independence St, Suite 200, Wheat Ridge, CO 80033-6715 | 2016-08-05 |
| 1821378258 | Brean Andrew Roman | Psychologist | 4851 Independence St, Suite 200, Wheat Ridge, CO 80033-6715 | 2011-08-16 |
| Find all providers in WHEAT RIDGE | ||||
| City | WHEAT RIDGE |
| Zip Code | 80033 |
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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.