Organization Active NPI

Eureka Psychological Services PLLC

  • Counseling Psychologist
  • Fort Collins, CO
National Provider Identifier
1073383626
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
Legal business name
EUREKA PSYCHOLOGICAL SERVICES PLLC
Practice address
3555 Stanford Rd Ste 140
Fort Collins, CO 80525-4680
Phone
(970) 235-1159
NPI assigned
Jan 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Authorized official

Name
Dr. John Jurica, PHDNPI 1760854665
Title
Founder & Director
Phone
(970) 235-1159

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC1900X Primary

Addresses

Primary practice location

3555 Stanford Rd Ste 140
Fort Collins, CO 80525-4680

Mailing address

3555 Stanford Rd Ste 140
Fort Collins, CO 80525-4680

National Provider Directory

National Provider Directory

Locations

3555 Stanford Rd
Ste 140
Fort Collins, CO 80525
Phone (720) 727-7154

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1704326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704326400000",
    "number": "1073383626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 STANFORD RD STE 140",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 STANFORD RD STE 140",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254680",
            "telephone_number": "970-235-1159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUREKA PSYCHOLOGICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-04",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A",
        "authorized_official_last_name": "JURICA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "FOUNDER & DIRECTOR",
        "authorized_official_telephone_number": "970-235-1159",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; 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.