Individual provider Active NPI

Jessica Lynn Blount, LPC, LAC, NCC

  • Professional Counselor
  • Colorado Springs, CO
National Provider Identifier
1093218216
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0015272 Issued in CO
Practice address
112 Iowa Ave Ste 4
Colorado Springs, CO 80909-5947
Phone
(719) 358-7338
NPI assigned
Mar 14, 2018
Last updated
Sep 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X ACD.0001305 CO
Professional Counselor 101YP2500X LPC.0015272 CO Primary

Addresses

Primary practice location

112 Iowa Ave Ste 4
Colorado Springs, CO 80909-5947

Mailing address

3764 Chia Dr
Colorado Springs, CO 80925-1379
Phone (719) 440-6283

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240429000597 CO Practitioner - Mental Health Counselor 0143672584 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPCC.0015254COMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
E Dawn Martin Caciii LLC CurrentSince Mar 25, 2024 Accepting new patients
E Dawn Martin Caciii LLC Past Accepting new patients
E Dawn Martin Caciii LLC Past Accepting new patients

Locations

112 Iowa Ave
Ste 4
Colorado Springs, CO 80909
Phone (719) 358-7228

140 S Parkside Dr
Colorado Springs, CO 80910
Phone (719) 358-7338

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1093218216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3764 CHIA DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809251379",
            "telephone_number": "719-440-6283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 IOWA AVE STE 4",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809095947",
            "telephone_number": "719-358-7338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOUNT",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "credential": "LPC, LAC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-14",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACD.0001305",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0015272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.