Jen Ross, PSYCHOTHERAPIST

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

NLC.0105214 Issued in CO

Practice address

711 Bowen St
Longmont, CO 80501-4413

Phone

(303) 668-2242

NPI assigned

Aug 24, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1104545920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 BOWEN ST",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805014413",
            "telephone_number": "303-668-2242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 BOWEN ST",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805014413",
            "telephone_number": "303-668-2242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "JEN",
        "credential": "PSYCHOTHERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-24",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "NLC.0105214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Sharon Rose, FNP
• Mary Rose, MA LPC CACII
• Whitley Rose, MA, LPC
• Ellen Rosenberg, MED, LPC
• Patti R. Rosquist, MD
• Stephanie Ross
• Lauren Elizabeth Roth, FNP-C
• Lindsey Ellen Roth, RD
• David Michael Rothbard, D.D.S.
• David Darden Rothfuss, PA-C

• Professional Counselor in Longmont, CO
• Providers in Longmont, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.