Provider Demographics
NPI:1104310911
Name:KESSLER, JAMES EDWARD (MA, LPCC)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:EDWARD
Last Name:KESSLER
Suffix:
Gender:M
Credentials:MA, LPCC
Other - Prefix:MR
Other - First Name:JAMES
Other - Middle Name:JAHMAYA
Other - Last Name:KESSLER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA, LPCC
Mailing Address - Street 1:5000 BUTTE ST LOT 280
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80301-6312
Mailing Address - Country:US
Mailing Address - Phone:720-371-1568
Mailing Address - Fax:
Practice Address - Street 1:2945 CENTER GREEN CT STE H
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80301-2275
Practice Address - Country:US
Practice Address - Phone:720-500-5482
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-15
Last Update Date:2018-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC.0016052101YM0800X, 101YS0200X, 102L00000X, 103TA0400X, 103TF0000X, 101YP2500X
LPCC.0016052103TP2701X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchoolGroup - Multi-Specialty
No102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst
No103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)
No103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamily
No103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup Psychotherapy