Individual provider Active NPI

Jennifer Elaine Medina, PH.D

  • Clinical Psychologist
  • Aurora, CO
National Provider Identifier
1144513821
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY.0004192 Issued in CO
Practice address
12348 E Montview Blvd
Aurora, CO 80045-7103
Phone
(720) 848-0000
NPI assigned
May 27, 2011
Last updated
Apr 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PSY.0004192 CO
Clinical Psychologist 103TC0700X PSY.0004192 CO Primary

Addresses

Primary practice location

12348 E Montview Blvd
Aurora, CO 80045-7103

Mailing address

PO Box 110429
Aurora, CO 80042-0429

Other practice location 1

4045 Pecos St Ste 150
Denver, CO 80211-2561
Phone (720) 295-0357

Other practice location 2

4141 E Dickenson Pl
Denver, CO 80222-6012
Phone (303) 504-6650

Other practice location 3

2949 Federal Blvd Ste 231
Denver, CO 80211-3741
Phone (720) 907-0420

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
I20150311002179 CO Practitioner - Clinical Psychologist 0143494658 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Physicians IncorporatedGroup PAC ID 3476465667, 3,189 clinicians
Family Care Center LLCGroup PAC ID 5991064420, 703 clinicians

Practice addresses (Care Compare)

12348 E Montview Blvd
Cu Marcus Institute for Brain Health
Aurora, CO 80045-7103
Phone (303) 724-4824

1525 Raleigh St
Suite 500
Denver, CO 80204-1594
Phone (888) 374-5066

4045 Pecos St
Suite 150
Denver, CO 80211-2561
Phone (720) 295-0357

Merit-based Incentive Payment System (MIPS)

Final score
60.28 of 100Reported as group
Quality
23.87
Improvement activities
40
Cost
82.48

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY.0004192COMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Center, LLC CurrentSince Aug 4, 2025 Accepting new patients
Family Care Center, LLC Clinical CurrentSince Aug 4, 2025 Accepting new patients
Mental Health Center of Denver Current Accepting new patients
Sherrie D All, PHD, PC Clinical Neuropsychologist CurrentSince Oct 15, 2012 Accepting new patients
Brain Space LLC Clinical CurrentSince Oct 20, 2024 Accepting new patients

Locations

2860 S Circle Dr
Ste 109
Colorado Springs, CO 80906
Phone 71954021004002

4141 E Dickenson Pl
Denver, CO 80222
Phone (303) 504-6509

1525 Raleigh St
Ste 500
Denver, CO 80204
Phone (303) 872-1735

4045 Pecos St
Ste 150
Denver, CO 80211
Phone (720) 295-0357

30 N Michigan Ave
Ste 1621
Chicago, IL 60602
Phone (773) 508-4788

1601 Sherman Ave
#210
Evanston, IL 60201
Phone (312) 806-7850

Organizations & group practices 6

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": "1306454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1144513821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110429",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800420429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12348 E MONTVIEW BLVD",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800457103",
            "telephone_number": "720-848-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4045 Pecos St Ste 150",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802112561",
            "country_code": "US",
            "telephone_number": "720-295-0357",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4141 E Dickenson Pl",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802226012",
            "country_code": "US",
            "telephone_number": "303-504-6650",
            "fax_number": "303-504-6905",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2949 Federal Blvd Ste 231",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802113741",
            "country_code": "US",
            "telephone_number": "720-907-0420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "JENNIFER",
        "middle_name": "ELAINE",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-27",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CO",
            "license": "PSY.0004192",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "PSY.0004192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.