Active NPI
Jessica Anne Micono, PSY.D.
- Forensic Psychologist
- Morrison, CO
National Provider Identifier
1295870160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Psychologist
- License
- 3386
- Practice address
- 12059 W Chenango Dr
Morrison, CO 80465-2016 - Phone
- (303) 204-7078
- NPI assigned
- Feb 20, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Forensic Psychologist | 103TF0200X | 3386 | CO | Primary |
| Forensic Psychologist | 103TF0200X | 2023-0003 | NM |
Addresses
Primary practice location
12059 W Chenango Dr
Morrison, CO 80465-2016
Mailing address
12059 W Chenango Dr
Morrison, CO 80465-2016
Phone (303) 204-7078
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2023-0003 | NM | MD | Forensic Psychologist |
| 3386 | CO | MD | Research Study Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749168000000",
"number": "1295870160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12059 W CHENANGO DR",
"city": "MORRISON",
"state": "CO",
"postal_code": "804652016",
"telephone_number": "303-204-7078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12059 W CHENANGO DR",
"city": "MORRISON",
"state": "CO",
"postal_code": "804652016",
"telephone_number": "303-204-7078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICONO",
"first_name": "JESSICA",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-20",
"last_updated": "2025-06-06",
"certification_date": "2025-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "CO",
"license": "3386",
"primary": true
},
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "NM",
"license": "2023-0003",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morrison, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.