Jana Marie Carson

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFTC.0013837 Issued in CO

Practice address

2001 S. Shields St. BLD K
Ft. Collins, CO 80526

Phone

(970) 472-4133

NPI assigned

May 14, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective May 8, 2024 through May 8, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1557792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557792000000",
    "number": "1073179131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 S SHIELDS ST BUILDING K",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805261838",
            "telephone_number": "970-472-4133",
            "fax_number": "970-493-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S. SHIELDS ST. BLD K",
            "city": "FT. COLLINS",
            "state": "CO",
            "postal_code": "80526",
            "telephone_number": "970-472-4133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARSON",
        "first_name": "JANA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-14",
        "last_updated": "2019-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "MFTC.0013837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jcarson@childsafecolorado.org",
            "affiliation": "N",
            "address_1": "2001 S. Shields St. Bld K",
            "city": "Ft. Collins",
            "state": "CO",
            "country_code": "US",
            "postal_code": "80526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cory Douglas Carroll, MD
• Robert Carroll, RMT
• Ryan Carroll, PA-C
• Ruth Carrothers, BA
• Aaron Scott Carson, MD
• Jamie L Carta
• Anne Elizabeth Carter, RPH
• Elizabeth A Carter
• Laurel Carter, MA, LPC
• Michael W Carter, M.D., PH.D.

• Marriage & Family Therapist in Ft. Collins, CO
• Providers in Ft. Collins, 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 May 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.