Healthcare Provider Details

I. General information

NPI: 1619689551
Provider Name (Legal Business Name): JANE LANDIS COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/22/2022
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5808 S RAPP ST STE 104
LITTLETON CO
80120-1942
US

IV. Provider business mailing address

5808 S RAPP ST STE 104
LITTLETON CO
80120-1942
US

V. Phone/Fax

Practice location:
  • Phone: 720-819-7799
  • Fax:
Mailing address:
  • Phone: 720-819-7799
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name: JANE LANDIS
Title or Position: OWNER/THERAPIST
Credential: MA, LPC
Phone: 971-563-2100