MR. JON DAVID SIEGEL (BA, MA COUNSELING) – Professional Counselor, NPI 1417616780

MR. JON DAVID SIEGEL (BA, MA COUNSELING) is a healthcare provider. based in Grand junction, Colorado. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials BA, MA COUNSELING. They hold a License No. LPCC.0019120 (CO). The NPI Number for MR. JON DAVID SIEGEL (BA, MA COUNSELING) is 1417616780

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
MR. JON DAVID SIEGEL (BA, MA COUNSELING)
NPI
1417616780
Phone
(970) 778-3030
Address
2472 PATTERSON RD UNIT 16
Enumeration Date
14 December 2021
Last Update Date
26 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9705790003
Graduation Year
2009 (17 years ago)
PAC ID
1850828625
Group Practice PAC ID
0749694495
Professional Enrollment ID
I20241218003259
Address ID
CO815012916GR2140XSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness85
Years active:4State licenses:1Digital endpointsOther names

2,207 MENTAL HEALTH COUNSELOR in CO

Provider Addresses for MR. JON DAVID SIEGEL (BA, MA COUNSELING)

  • 2472 PATTERSON RD UNIT 16

    GRAND JUNCTION, CO 815051100

    Phone: (970) 778-3030

    Type: Mailing

  • 35 S SELIG AVE

    MONTROSE, CO 814013654

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-12-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241218003259IMental Health CounselorCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 81505)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0749694495View full group profile
NameSpecialtyState
Nurse PractitionerCO
Mental Health CounselorCO
Nurse PractitionerCO
Clinical Social WorkerCO
Mental Health CounselorCO
Marriage And Family TherapistCO
Nurse PractitionerCO
Mental Health CounselorCO
Nurse PractitionerCO

Reviews

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Frequently asked questions

What is the 10-digit NPI for MR. JON DAVID SIEGEL (BA, MA COUNSELING)?
MR. JON DAVID SIEGEL (BA, MA COUNSELING) — NPI 1417616780 — is the standard way to identify this listing.
Is MR. JON DAVID SIEGEL (BA, MA COUNSELING) still practicing?
MR. JON DAVID SIEGEL (BA, MA COUNSELING) is currently listed as active in the public NPI registry.
What is MR. JON DAVID SIEGEL (BA, MA COUNSELING) best known for clinically?
Directory data describes MR. JON DAVID SIEGEL (BA, MA COUNSELING) with Professional Counselor. Clinical services aligned with this taxonomy classification.
Does MR. JON DAVID SIEGEL (BA, MA COUNSELING) list a practice location?
Patients near Grand Junction, Colorado may find MR. JON DAVID SIEGEL (BA, MA COUNSELING) in results; validate coverage separately.
Why does MR. JON DAVID SIEGEL (BA, MA COUNSELING) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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