Healthcare Provider Details

I. General information

NPI: 1861654600
Provider Name (Legal Business Name): JESSIE LEMMON LPCC, CMI-SPANISH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2008
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

910 SANTA FE DR
DENVER CO
80204-3975
US

IV. Provider business mailing address

1350 W OHIO AVE
DENVER CO
80223-2752
US

V. Phone/Fax

Practice location:
  • Phone: 720-989-1233
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPCC.0023455
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code171R00000X
TaxonomyInterpreter
License Number102187
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: