Individual provider Active NPI

Jenna Nims

  • Counselor
  • Colorado Springs, CO
National Provider Identifier
1063302800
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
1802 Chapel Hills Dr Ste a
Colorado Springs, CO 80920-3736
Phone
(719) 330-5114
NPI assigned
Jul 3, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

1802 Chapel Hills Dr Ste a
Colorado Springs, CO 80920-3736

Mailing address

4164 Austin Bluffs Pkwy # 170
Colorado Springs, CO 80918-2928
Phone (719) 301-9995

Other names 1

  • Jenna Peterson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1751500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1063302800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4164 AUSTIN BLUFFS PKWY # 170",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809182928",
            "telephone_number": "719-301-9995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 CHAPEL HILLS DR STE A",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203736",
            "telephone_number": "719-330-5114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIMS",
        "first_name": "JENNA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-03",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "PETERSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.