Individual provider Active NPI

Jill A. Kuhn, PH.D.

  • Clinical Psychologist
  • Fort Collins, CO
National Provider Identifier
1306029129
Registry record updated May 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3166 Issued in CO
Practice address
323 W Drake Rd
Suite 220
Fort Collins, CO 80526-8115
Phone
(970) 219-9206
NPI assigned
Dec 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3166 CO Primary

Addresses

Primary practice location

323 W Drake Rd
Suite 220
Fort Collins, CO 80526-8115

Mailing address

PO Box 270674
Fort Collins, CO 80527-0674
Phone (970) 219-9206

Other identifiers 1

IdentifierTypeStateIssuer
59823020MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3166COMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jill a. Kuhn, PH.D. L.L.C Clinical CurrentSince Sep 7, 2011 Accepting new patients
Tammi Vacha Haase PHD LLC Past Accepting new patients

Locations

323 W Drake Rd
Ste 220
Fort Collins, CO 80526
Phone (970) 219-9206

Organizations & group practices 2

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": "1197590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306454400000",
    "number": "1306029129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 270674",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805270674",
            "telephone_number": "970-219-9206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 W DRAKE RD",
            "address_2": "SUITE 220",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805268115",
            "telephone_number": "970-219-9206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUHN",
        "first_name": "JILL",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-14",
        "last_updated": "2011-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "3166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "59823020",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.