Thadeus Collins Jessen, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3535 Issued in CO

Practice address

300 E Horsetooth Rd Ste 200
Fort Collins, CO 80525-3154

Phone

(970) 776-6351

Fax

(208) 567-5844

NPI assigned

Mar 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Polaris Partners Counseling and Consulting LLCGroup PAC ID 2769892538, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Polaris Partners Counseling and Consulting LLC

  • Mental Health Counselor
  • Denver, CO
  • NPI 1346849841
  Medicare reassignment Care Compare group NPD
• Polaris Partners Counseling and Consulting LLC

  • Professional Counselor
  • Fort Collins, CO
  • NPI 1023974599
  NPD
• Polaris Partners Counseling and Consulting LLC

  • Professional Counselor
  • Denver, CO
  • NPI 1780099028

  Mental Health

  NPD
• Polaris Partners Counseling and Consulting LLC

  • Mental Health Counselor
  • Fort Collins, CO
  • NPI 1962172635
  NPD (past)

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1669433116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E HORSETOOTH RD STE 200",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253154",
            "telephone_number": "970-776-6351",
            "fax_number": "208-567-5844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E HORSETOOTH RD STE 200",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253154",
            "telephone_number": "970-776-6351",
            "fax_number": "208-567-5844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JESSEN",
        "first_name": "THADEUS",
        "middle_name": "COLLINS",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "3535",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "3535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spencer Lynn Jensen
• Barbara Jenson
• Jeremy T. Sharp, PH.D., LLC
• Jennifer R Jergerian, PSY.D
• Geraldine Victoria Jerome, M.D.
• Mari Jesser
• Jessica Grant, LCSW LLC
• Jessica Kraus LMT
• Megan Jett
• Tara Jewell, NP-C

• Professional Counselor in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; 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.

Verify at the official NPI Registry.