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JACOB WEIDE LPC, LAC
NPI 1740134113
Counselor - Professional in Aurora, CO

Active since February 23, 2026PECOS Enrolled
1290 S POTOMAC ST, AURORA, CO 80012(303) 617-2300(303) 617-2344 Get Directions Write a Review

NPPES record last updated: April 20, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jacob Weide Lpc, Lac NPPES

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

JACOB WEIDE LPC, LAC (NPI 1740134113) is an individual professional provider in Aurora, Colorado, licensed in Colorado (LPC.0023704) and active in the NPI registry since February 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1740134113
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJACOB WEIDECredential: LPC, LAC
Location Address1290 S POTOMAC STAurora, CO 80012-4524
Mailing Address1290 Chambers RdAurora, CO 80011-7117 · (303) 617-2300 · Fax (303) 617-2344
Phone(303) 617-2300
Fax(303) 617-2344
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 23, 2026
Last NPPES UpdateApril 20, 2026
NPPES CertifiedApril 20, 2026
✔ NPI 1740134113 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.0023704
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License ACD.0002715 (CO)
1290 S POTOMAC ST, Aurora, CO 80012
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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)

Jacob Weide Lpc, Lac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3971085150
PECOS Enrollment IDI20260305004043
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 Jacob Weide reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Aurora Comprehensive Community Mental Health Center, Inc.
Same address
Substance Abuse Rehabilitation Facility
1290 S POTOMAC ST
Aurora, CO 80012
  • Reassigned Medicare billing, Colorado enrollment
  • 243 clinicians in this Medicare group
NPI 1619563475 (303) 617-2300

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

Other Providers at the Same Location NPPES 20

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

TELMA CORDOVA MA., CAS, QMAP
Case Manager/Care Coordinator
1290 S POTOMAC ST
AURORA, CO 80012
Arapahoe County (720) 617-2300
MEAGAN HISSCOCK LCSW
Social Worker (Clinical)
1290 S POTOMAC ST
AURORA, CO 80012
Arapahoe County (303) 617-2300
JACLYN ALEXANDER
Registered Nurse (Psychiatric/Mental Health)
1290 S POTOMAC ST
AURORA, CO 80012
Arapahoe County (303) 617-2300
NICHOLAS AUGUST MILLER BA SOCIAL SCIENCES
Counselor (Addiction (Substance Use Disorder))
1290 S POTOMAC ST
AURORA, CO 80012
Arapahoe County (303) 617-2300
ALLISON M WILSON
Counselor (Addiction (Substance Use Disorder))
1290 S POTOMAC ST
AURORA, CO 80012
Arapahoe County (720) 357-6877
STEVEN J ERICHSEN
Counselor (Addiction (Substance Use Disorder))
1290 S POTOMAC ST
AURORA, CO 80012
Arapahoe County (303) 923-6888
DALIA SANDINO CRUZ
Registered Nurse (Psychiatric/Mental Health)
1290 S POTOMAC ST
AURORA, CO 80012
Arapahoe County (303) 617-2300
GARY ACKERT MA, LAC, MAC
Counselor (Professional)
1290 S POTOMAC ST
AURORA, CO 80012
Arapahoe County (815) 302-3623

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 Jacob Weide's NPI number?

The NPI number for Jacob Weide is 1740134113. It was assigned to this individual provider in the NPPES registry on February 23, 2026.

Where is Jacob Weide located?

Jacob Weide practices at 1290 S Potomac St, Aurora, CO 80012. The listed phone number is (303) 617-2300.

What is Jacob Weide's specialty?

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

Is Jacob Weide enrolled in Medicare?

Yes. Jacob Weide is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jacob Weide's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Weide reassigns Medicare benefits to Aurora Comprehensive Community Mental Health Center, Inc. (Aurora, 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 Jacob Weide'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 Jacob Weide was last updated on April 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.