Provider Demographics
NPI:1750935516
Name:JASINSKI, JAMES J (MA, LPC)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:J
Last Name:JASINSKI
Suffix:
Gender:M
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:354 DERBY HILL DR
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80537-7312
Mailing Address - Country:US
Mailing Address - Phone:740-590-2288
Mailing Address - Fax:
Practice Address - Street 1:354 DERBY HILL DR
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80537-7312
Practice Address - Country:US
Practice Address - Phone:720-443-3937
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-30
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0020722101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty