Search › Colorado › 171M00000X
Jacob Carlock, CPFS, QBHA
NPI 1699684209 · on the registry since 2026
Practice
- Address
- 5400 W Cedar Ave
Lakewood, CO 80226 - Phone
- (719) 464-3784
- Organisation at this address
- Mtx Care Colorado, Pllc
Ascend Recovery Solutions LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 13
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Also registered as
- 175T00000X
- Licence states on file
- CO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-09-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado