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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KATHRYN BHAGATRAM-JACKSON, LPC

Deactivated Sole Proprietor

KATHRYN BHAGATRAM-JACKSON, LPC is a Professional Counselor healthcare provider located in GRAND JUNCTION, Colorado. NPI 1053758078 is deactivated in the NPPES registry. Verify at CMS.

Professional Counselor · GRAND JUNCTION, CO

This NPI has been deactivated. The record was deactivated on January 13, 2014. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1053758078
Provider Type
Individual
Gender
Female
NPI Issued
May 31, 2013 (0.62191780821918 yrs)
Last Updated
Feb 4, 2025
Deactivated
Jan 13, 2014
License
LPC.0020524 (CO)
Sole Proprietor
Yes

Practice Information

Address
300 MAIN ST STE 306
GRAND JUNCTION, CO, 815012404
Browse CO providers · Browse ZIP 81501
Phone
9702793377
Primary Specialty
Professional Counselor
101YP2500X
Additional Specialty
School Counselor
Additional Specialty
Mental Health Counselor

Other Professional Counselor Providers in GRAND JUNCTION, CO

Name Credential NPI
MS. KATHLEEN GRACE MA LPC CACII 1841275286
MS. TERESA MARIE GOODMAN MA, LPC 1902886641
CAROLYNN SONDA LPC 1902886229
CARL WILLOUGHBY LPC 1477523942
JULIE D ALBRIGHT MA 1609824663
JOHN S SCHULTZ MA 1861440125
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.