Jackie Lynch, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

JACKIE LYNCH, LLC

Practice address

1502 S College Ave
Fort Collins, CO 80524-4116

Phone

(970) 412-2632

NPI assigned

May 21, 2020

Organization subpart

No

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

Authorized official

Name

Jackie W Lynch, LCSW

Title

Owner/Provider

Phone

(970) 412-2632

Specialties & licenses 1

Addresses

Other names 1

• Jackie Lynch Counseling Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacqueline W Lynch, LCSW

  • Social Worker
  • Fort Collins, CO
  • NPI 1386017549
  NPD

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

{
    "created_epoch": "1590019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590105600000",
    "number": "1215550447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1713 WESTCHESTER LN",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805252980",
            "telephone_number": "203-554-9309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 S COLLEGE AVE",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805244116",
            "telephone_number": "970-412-2632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKIE LYNCH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-21",
        "last_updated": "2020-05-22",
        "certification_date": "2020-05-22",
        "status": "A",
        "authorized_official_last_name": "LYNCH",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "970-412-2632",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jackie Lynch Counseling",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Pamela Therease Iverson I, LPC, CACIII, EMDRII
• Stacie Ivey, M.S., CCC-SLP
• Laura Katherine Ivy
• Meriam Pacan Izon, M.D.
• J. David Cranor MD LLC
• Christina Nicole Jacko-Ball, DPT
• Jackson Eye Care, PC
• Jackson Eyecare, PC
• Jackson Fisk Integrative Health Care
• Amy Jackson, AGACNP-BC, APN

• Community/Behavioral Health Agency in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Community/Behavioral Health Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2020; 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.