Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jordan Sparrow-Antonio, MS

Individual provider Mental Health Counselor · NPI 1558196204

Jordan Sparrow-Antonio, MS is a Mental Health Counselor in Boulder, Colorado. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

3470 Broadway St
Boulder, CO 80304-1824
Phone: (303) 443-8500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1558196204
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS
Sole proprietorYes
NPI enumeratedSeptember 3, 2024
Last updated in NPPESSeptember 3, 2024
Certification dateSeptember 3, 2024

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