JORDAN LEANN LIDSTROM


Address: 2450 S Vine Street Denver Co 80208, Denver, CO 80208
Phone: (303) 871-3626

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Provider Secondary Practice Location

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

Office Location

Street Address 2450 S VINE STREET DENVER CO 80208
City DENVER
State CO
Zip Code 80208

Providers in the same zip code

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 Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City DENVER
Zip Code 80208

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Dataset Information

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.

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