Jenni McDade, MA, NCC
Counselor, Professional in Longmont, CO. Individual provider (NPI-1).
NPI number1003445552
StatusActive
Last updated in NPPESApr 7, 2020
Details
- NPI
- 1003445552
- Entity type
- Individual (NPI-1)
- Name
- Jenni McDade
- Credential
- MA, NCC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 6, 2020
- Certification date
- Apr 7, 2020
- Last updated
- Apr 7, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – |
Practice location
600 S Airport RdLongmont, CO 80503-6424
Phone 303-579-8642
Mailing address
933 Sandstone DrLyons, CO 80540-8833
Phone 303-579-8642
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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