Healthcare Provider Details

I. General information

NPI: 1821912601
Provider Name (Legal Business Name): MR. JERRME TRELL STANTON
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6740 E HAMPDEN AVE
DENVER CO
80224-3016
US

IV. Provider business mailing address

3381 N BUCHANAN WAY
AURORA CO
80019-3777
US

V. Phone/Fax

Practice location:
  • Phone: 720-653-5148
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPCC.0024879
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: