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NPI Code Detail

MEDICARE: JAZMYN MERRITT

MEDICARE:   JAZMYN  MERRITT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1205701729
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAZMYN MERRITT
Provider Business Mailing Address
First Line : 4851 INDEPENDENCE ST FL 1
Second Line :
City : WHEAT RIDGE
State : CO
Zip : 80033-6715
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4851 INDEPENDENCE ST FL 1
Second Line :
City : WHEAT RIDGE
State : CO
Zip : 80033-6715
Country : US
Telephone Number : 983-456-3089
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2025
Last Update Date : 02/07/2026

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Directions to “ JAZMYN MERRITT ” Practice Location

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