Active NPI
Jennifer Cameron
- Professional Counselor
- Fort Collins, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC.0019829
- Practice address
- 4856 Innovation Dr
Fort Collins, CO 80525-5539 - Phone
- (970) 494-4200
- Fax
- (844) 270-1824
- NPI assigned
- Mar 29, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | ACD.0002338 | CO | |
| Professional Counselor | 101YP2500X | LPC.0019829 | CO | Primary |
Addresses
Primary practice location
4856 Innovation Dr
Fort Collins, CO 80525-5539
Mailing address
4856 Innovation Dr
Fort Collins, CO 80525-5539
Phone (970) 494-4200
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240312001555 | CO | Practitioner - Mental Health Counselor | 8325484439 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Summitstone Health PartnersFamily Care Center LLC
Practice addresses (Care Compare)
1250 N Wilson Ave
Loveland, CO 80537-4461
Phone (970) 494-4200
3351 Eastbrook Dr
Suite 200
Fort Collins, CO 80525-5744
Phone (888) 374-5066
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ACD.0002338 | CO | MD | Addiction (Substance Use Disorder) Counselor |
| LPC.0019829 | CO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Care Center, LLC | Professional | Current | Accepting new patients |
| Summitstone Health Partners | Current | Accepting new patients | |
| Family Care Center, LLC | Current | Accepting new patients | |
| Summitstone Health Partners | Current | Accepting new patients | |
| Summitstone Health Partners | Current | Accepting new patients | |
| Summitstone Health Partners | Past | Accepting new patients | |
| Summitstone Health Partners | Past | Accepting new patients |
Locations
2860 S Circle Dr
Ste 109
Colorado Springs, CO 80906
Phone 71954021004002
4856 Innovation Dr
Fort Collins, CO 80525
4102 S Timberline Rd
Fort Collins, CO 80525
Phone (970) 494-5728
4856 Innovation Dr
Ste B
Fort Collins, CO 80525
Phone (970) 397-7815
3351 Eastbrook Dr
Ste 200
Fort Collins, CO 80525
Phone (970) 500-0164
1250 N Wilson Ave
Loveland, CO 80537
Phone (970) 494-9789
Organizations & group practices 10
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Colorado Springs, CO
- NPI 1790141984
CO
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fort Collins, CO
- NPI 1821552738
CO
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Round Rock, TX
- NPI 1427786482
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Franklin, TN
- NPI 1124756085
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Tampa, FL
- NPI 1689441255
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Loveland, CO
- NPI 1073848214
-
- Adult Mental Health Clinic/Center
- Fort Collins, CO
- NPI 1154135861
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Loveland, CO
- NPI 1093551889
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Loveland, CO
- NPI 1710173687
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742342400000",
"number": "1639601602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4856 INNOVATION DR",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805255539",
"telephone_number": "970-494-4200",
"fax_number": "844-270-1824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4856 INNOVATION DR",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805255539",
"telephone_number": "970-494-4200",
"fax_number": "844-270-1824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMERON",
"first_name": "JENNIFER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-29",
"last_updated": "2025-03-19",
"certification_date": "2025-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CO",
"license": "ACD.0002338",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "LPC.0019829",
"primary": true
}
],
"identifiers": [],
"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 Mar 19, 2025; 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.