Jessica Lauren Wynn, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MSMFT.0000005 Issued in CO

Practice address

225 E Cheyenne Mountain Blvd Ste 220
Colorado Springs, CO 80906-3700

Phone

(719) 694-9739

NPI assigned

Jul 10, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Creative Mind Psychotherapy PLLC

  • Adult Mental Health Clinic/Center
  • Colorado Springs, CO
  • NPI 1366111783
  NPD Authorized official
• New Visions Recovery Solutions

  • Children's Substance Abuse Rehabilitation Facility
  • Colorado Springs, CO
  • NPI 1881235539

  Marriage & Family Therapist

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1531180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659312000000",
    "number": "1053807313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5035 LANGDALE WAY",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809067673",
            "telephone_number": "912-610-2107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E CHEYENNE MOUNTAIN BLVD STE 220",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809063700",
            "telephone_number": "719-694-9739"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5035 Langdale Way",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809067673",
            "country_code": "US",
            "telephone_number": "912-610-2107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WYNN",
        "first_name": "JESSICA",
        "middle_name": "LAUREN",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-10",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MD",
            "license": "LCM678",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "MSMFT.0000005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amaya Kira Wybrant
• Robert Bryan Wyeth, DMD
• Hannah Wyman
• Jaime Wyman, BCBA
• Izak Wynacht
• Wyoming Physical Therapy PC (Brookside Physical Therapy)
• Wyoming Physical Therapy PC (Brookside Physical Therapy)
• Timothy W Wyse, MD
• Michael Wyskiel, APN
• William Humber Wysong, MA,LPC, EMDR II, TEP

• Marriage & Family Therapist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Marriage & Family Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.