Active NPI
Jennifer Borland, LCSW, CAS, MSW
- Clinical Social Worker
- Fort Collins, CO
National Provider Identifier
1164769014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW.09923663
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| ACB.0008586 | CO | MD | Addiction (Substance Use Disorder) Counselor |
| ACC.0998586 | CO | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspen Therapy and Wellness LLC | Clinical | Current | 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.
-
- Clinical Social Worker
- Fort Collins, CO
- NPI 1790559029
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.