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JORDAN SPARROW-ANTONIO MS
NPI 1558196204
Counselor - Mental Health in Boulder, CO

Active since September 03, 2024
3470 BROADWAY ST, BOULDER, CO 80304(303) 443-8500 Get Directions Write a Review

NPPES record last updated: September 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jordan Sparrow-antonio Ms NPPES

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

JORDAN SPARROW-ANTONIO MS (NPI 1558196204) is an individual mental health provider in Boulder, Colorado and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1558196204
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJORDAN SPARROW-ANTONIOCredential: MS
Location Address3470 BROADWAY STBoulder, CO 80304-1824
Mailing Address1455 Dixon AveLafayette, CO 80026-8879 · (303) 443-8500
Phone(303) 443-8500
Sole ProprietorYes
Enumeration DateSeptember 3, 2024
NPPES CertifiedSeptember 3, 2024
✔ NPI 1558196204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3470 BROADWAY ST, Boulder, CO 80304
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Other Providers at the Same Location NPPES 5

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

DANIEL ANTONIO PARIENTE
Case Manager/Care Coordinator
3470 BROADWAY ST
BOULDER, CO 80304
Boulder County (303) 443-8500
BOULDER COUNTY PUBLIC HEALTH
Substance Abuse Rehabilitation Facility
3470 BROADWAY ST
BOULDER, CO 80304
Boulder County (303) 441-1290
EMILY COHEN LCSW
Social Worker (Clinical)
3470 BROADWAY ST
BOULDER, CO 80304
Boulder County (303) 443-8500
MARIANN STANLEY LPC, CAC III
Counselor (Professional)
3470 BROADWAY ST
BOULDER, CO 80304
Boulder County (303) 441-1463
MARLENE SULEMA PALOMAR
Counselor (Mental Health)
3470 BROADWAY ST
BOULDER, CO 80304
Boulder County (303) 443-8500

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 Sparrow-antonio's NPI number?

The NPI number for Jordan Sparrow-antonio is 1558196204. It was assigned to this individual provider in the NPPES registry on September 3, 2024.

Where is Jordan Sparrow-antonio located?

Jordan Sparrow-antonio practices at 3470 Broadway St, Boulder, CO 80304. The listed phone number is (303) 443-8500.

What is Jordan Sparrow-antonio's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jordan Sparrow-antonio was last updated on September 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.