Active NPI
Jill A. Kuhn, PH.D.
- Clinical Psychologist
- Fort Collins, CO
National Provider Identifier
1306029129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3166
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 59823020 | Medicaid | CO |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3166 | CO | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jill a. Kuhn, PH.D. L.L.C | Clinical | Current | 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.
-
- Psychologist
- Fort Collins, CO
- NPI 1356453922
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.