Individual provider Active NPI

Jennifer Borland, LCSW, CAS, MSW

  • Clinical Social Worker
  • Fort Collins, CO
National Provider Identifier
1164769014
Registry record updated May 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09923663 Issued in CO
Practice address
19 Old Town SQ Ste 238
Fort Collins, CO 80524-2471
Phone
(720) 592-7209
NPI assigned
Jan 12, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X ACB.0008586 CO
Addiction (Substance Use Disorder) Counselor 101YA0400X ACC.0998586 CO
Clinical Social Worker 1041C0700X CSW.09923663 CO Primary

Addresses

Primary practice location

19 Old Town SQ Ste 238
Fort Collins, CO 80524-2471

Mailing address

19 Old Town SQ Ste 238
Fort Collins, CO 80524-2471
Phone (720) 592-7209

Other practice location 1

333 Peyton Dr
Fort Collins, CO 80525-8258
Phone (720) 592-7209

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.jenniferborlandlcsw.com Health Information Exchange (HIE)

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
I20160712001991 CO Practitioner - Clinical Social Worker 9537451513 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

19 Old Town SQ
Suite 238
Fort Collins, CO 80524-2471
Phone (970) 460-4757

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ACB.0008586COMDAddiction (Substance Use Disorder) Counselor
ACC.0998586COMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Aspen Therapy and Wellness LLC Clinical CurrentSince Jan 30, 2025 Accepting new patients

Locations

19 Old Town Sq
Ste 238
Fort Collins, CO 80524
Phone (970) 231-3721

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1357948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621209600000",
    "number": "1164769014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 OLD TOWN SQ STE 238",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805242471",
            "telephone_number": "720-592-7209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 OLD TOWN SQ STE 238",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805242471",
            "telephone_number": "720-592-7209"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 Peyton Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805258258",
            "country_code": "US",
            "telephone_number": "720-592-7209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BORLAND",
        "first_name": "JENNIFER",
        "credential": "LCSW, CAS, MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-12",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACB.0008586",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACC.0998586",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09923663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.jenniferborlandlcsw.com",
            "affiliation": "N",
            "endpointDescription": "www.jenniferborlandlcsw.com",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "333 Peyton Dr",
            "city": "Fort Collins",
            "state": "CO",
            "country_code": "US",
            "postal_code": "805258258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.