MEDICARE: JESSIE LEMMON LPCC, CMI-SPANISH

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
1	101YM0800X	Mental Health Counselor	LPCC.0023455	CO
2	171R00000X	Interpreter	102187	CO

General Provider Information

NPI Number	:	1861654600
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSIE LEMMON LPCC, CMI-SPANISH

Provider Business Mailing Address
First Line	:	1350 W OHIO AVE
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80223-2752
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	910 SANTA FE DR
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80204-3975
Country	:	US
Telephone Number	:	720-989-1233
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/01/2008
Last Update Date	:	12/15/2025

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