JORDAN ANTHONY YATES LPC, ATR
NPI 1063138121
Counselor - Professional in Boulder, CO

Active since October 19, 2022
6654 GUNPARK DR STE 200F, BOULDER, CO 80301(303) 990-7380 Get Directions Write a Review

NPPES record last updated: July 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 2, 2024, Nov 16, 2022, Oct 19, 2022 (3 updates tracked since 2022).

About Jordan Anthony Yates Lpc, Atr NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JORDAN ANTHONY YATES LPC, ATR (NPI 1063138121) is an individual professional provider in Boulder, Colorado, licensed in Colorado (LPC.0020902) and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1063138121
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJORDAN ANTHONY YATESCredential: LPC, ATR
Location Address6654 GUNPARK DR STE 200FBoulder, CO 80301-3384
Mailing Address5126 Williams Fork Trl Apt 205Boulder, CO 80301-6607 · (303) 990-7380
Sole ProprietorNo
Enumeration DateOctober 19, 2022
Last NPPES UpdateJuly 2, 20243 updates tracked since enumeration
NPPES CertifiedJuly 2, 2024
NPI 1063138121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in CO · LPC.0020902
Also ListedArt TherapistTaxonomy 221700000X · License 22-477 (CO)
6654 GUNPARK DR STE 200F, Boulder, CO 80301

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jordan Yates's NPI number?

The NPI number for Jordan Yates is 1063138121. It was assigned to this individual provider in the NPPES registry on October 19, 2022.

Where is Jordan Yates located?

Jordan Yates practices at 6654 Gunpark Dr Ste 200F, Boulder, CO 80301. The listed phone number is (303) 990-7380.

What is Jordan Yates's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Jordan Yates was last updated on July 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.