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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JACQUELINE RAE ANDERSON LP
NPI 1386137016
Psychologist - Clinical in Broomfield, CO

Active since June 07, 2018PECOS Enrolled
12303 AIRPORT WAY STE 125, BROOMFIELD, CO 80021(970) 310-3406 Get Directions Write a Review

NPPES record last updated: November 6, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 6, 2026, Oct 12, 2026, Jul 31, 2024 and 1 more (4 updates tracked since 2024).

About Jacqueline Rae Anderson Lp NPPES

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

JACQUELINE RAE ANDERSON LP (NPI 1386137016) is an individual clinical provider in Broomfield, Colorado, licensed in Colorado (PSY.0005796) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386137016
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameJACQUELINE RAE ANDERSONCredential: LP
Location Address12303 AIRPORT WAY STE 125Broomfield, CO 80021-2729
Mailing Address12303 Airport Way Ste 125Broomfield, CO 80021-2729 · (970) 310-3406
Phone(970) 310-3406
Sole ProprietorYes
Enumeration DateJune 7, 2018
Last NPPES UpdateNovember 6, 20264 updates tracked since enumeration
NPPES CertifiedNovember 6, 2026
✔ NPI 1386137016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CO · PSY.0005796
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedPsychologist · SchoolTaxonomy 103TS0200X · License PSY.0005796 (CO)
12303 AIRPORT WAY STE 125, Broomfield, CO 80021
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline Rae Anderson Lp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jacqueline Anderson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Heart Centered Counseling, PC
Same address
Mental Health
12303 AIRPORT WAY STE 125
Broomfield, CO 80021
  • Reassigned Medicare billing, Colorado enrollment
  • 390 clinicians in this Medicare group
NPI 1427633015 (970) 310-3406

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80021 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$174.82 typical visit price
range $58.06 – $174.82
Typical copayment $43.70 (range $14.51 – $43.70)
Most-billed visit code 99205
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. MONICA ISABEL ROMERO LCSW
Social Worker (Clinical)
12303 AIRPORT WAY STE 125
BROOMFIELD, CO 80021
Jefferson County (970) 310-3406
SUSAN DAWSON LPC
Counselor (Professional)
12303 AIRPORT WAY STE 125
BROOMFIELD, CO 80021
Jefferson County (970) 310-3406
CRAIG PATRICK VANHOUTTE LPC
Counselor (Mental Health)
12303 AIRPORT WAY STE 125
BROOMFIELD, CO 80021
Jefferson County (720) 726-9880
KENDALL BAKER RYNO LCSW
Social Worker (Clinical)
12303 AIRPORT WAY STE 125
BROOMFIELD, CO 80021
Jefferson County (970) 310-3406
DR. TERESA M. NELSEN PH.D.
Marriage & Family Therapist
12303 AIRPORT WAY STE 125
BROOMFIELD, CO 80021
Jefferson County (970) 310-3406
HEART CENTERED COUNSELING, PC
Counselor (Mental Health)
12303 AIRPORT WAY STE 125
BROOMFIELD, CO 80021
Jefferson County (970) 310-3406
SIERRA ALEXIS SHARRATT MA, LPC
Counselor (Professional)
12303 AIRPORT WAY STE 125
BROOMFIELD, CO 80021
Jefferson County (970) 310-3406
KAILA NICOLE ROBERTSON LCSW
Social Worker (Clinical)
12303 AIRPORT WAY STE 125
BROOMFIELD, CO 80021
Jefferson County (970) 310-3406

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 Jacqueline Anderson's NPI number?

The NPI number for Jacqueline Anderson is 1386137016. It was assigned to this individual provider in the NPPES registry on June 7, 2018.

Where is Jacqueline Anderson located?

Jacqueline Anderson practices at 12303 Airport Way Ste 125, Broomfield, CO 80021. The listed phone number is (970) 310-3406.

What is Jacqueline Anderson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Jacqueline Anderson enrolled in Medicare?

Yes. Jacqueline Anderson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jacqueline Anderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Anderson reassigns Medicare benefits to Heart Centered Counseling, PC (Broomfield, CO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacqueline Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jacqueline Anderson was last updated on November 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.