| Joyful Soul Counseling, Pllc | |
|
6901 S Pierce St Ste 370 Littleton CO 80128-7202 | |
| (720) 515-6385 | |
| Not Available |
| Full Name | Joyful Soul Counseling, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 6901 S Pierce St Ste 370, Littleton, Colorado |
| Authorized Official Name and Position | Jessica L Olguin (OWNER) |
| Authorized Official Contact | 7205156385 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joyful Soul Counseling, Pllc 6901 S Pierce St Ste 370 Littleton CO 80128-7202 Ph: (720) 515-6385 | Joyful Soul Counseling, Pllc 6901 S Pierce St Ste 370 Littleton CO 80128-7202 Ph: (720) 515-6385 |
| NPI Number | 1477263572 |
|---|---|
| Provider Enumeration Date | 11/29/2022 |
| Last Update Date | 03/30/2023 |
| Certification Date | 03/30/2023 |
| Medicare PECOS PAC ID | 1850835174 |
|---|---|
| Medicare Enrollment ID | O20240627002647 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477263572 | NPI | - | NPPES |
| 9000211616 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Jessica A Olguin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497361646 PECOS PAC ID: 7810431137 Enrollment ID: I20240627003525 |
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