DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: JORDAN LEANN LIDSTROM LPC

MEDICARE: JORDAN LEANN LIDSTROM LPC
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
1101YP2500XProfessional CounselorLPC.0018702CO

General Provider Information

NPI Number : 1780193755
Entity Type Code : Individual
Provider Name (Legal Business Name) : JORDAN LEANN LIDSTROM LPC
Provider Business Mailing Address
First Line : 55 MADISON ST STE 240
Second Line :
City : DENVER
State : CO
Zip : 80206-5451
Country : US
Telephone Number : 970-310-3406
Fax Number :
Provider Business Practice Location Address
First Line : 55 MADISON ST STE 240
Second Line :
City : DENVER
State : CO
Zip : 80206-5451
Country : US
Telephone Number : 970-310-3406
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2017
Last Update Date : 01/23/2026

Similar Medicare Providers

1528796216 — CHRISTINA MARIE SONG LPC
Practice Location Address:
55 MADISON ST STE 240
DENVER, CO
80206-5451
Practice Phone: 970-310-3406
Practice Fax:
1245540319 — ASHA LAINE WELLS MSW LCSW
Practice Location Address:
55 MADISON ST STE 240
DENVER, CO
80206-5451
Practice Phone: 970-310-3406
Practice Fax:
1154943298 — DR. ADARSH A SHETTY MD
Practice Location Address:
55 MADISON ST STE 240
DENVER, CO
80206-5451
Practice Phone: 970-310-3406
Practice Fax:
1154949295 — HEART CENTERED COUNSELING, PC
Practice Location Address:
55 MADISON ST STE 240
DENVER, CO
80206-5451
Practice Phone: 970-310-3406
Practice Fax:
1205435336 — ALEXANDER OTIS KISOR
Practice Location Address:
55 MADISON ST STE 240
DENVER, CO
80206-5451
Practice Phone: 970-310-3406
Practice Fax:
1437873742 — AUDREY OURS LPC
Practice Location Address:
55 MADISON ST STE 240
DENVER, CO
80206-5451
Practice Phone: 855-696-6801
Practice Fax:

Directions to “ JORDAN LEANN LIDSTROM LPC” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.