Individual provider Active NPI

Jennifer Ann Bohle, MS, LPC

  • Professional Counselor
  • Colorado Springs, CO
National Provider Identifier
1679128995
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0016756 Issued in CO
Practice address
10 Boulder Crescent St Ste 204a
Colorado Springs, CO 80903-3355
Phone
(719) 357-5638
NPI assigned
Aug 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 0016638 CO
Professional Counselor 101YP2500X 0016756 CO Primary

Addresses

Primary practice location

10 Boulder Crescent St Ste 204a
Colorado Springs, CO 80903-3355

Mailing address

10 Boulder Crescent St Ste 204a
Colorado Springs, CO 80903-3355
Phone (719) 357-5638

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jennifer@jenniferanncounselingllc.com Direct

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
0016638COMDCounselor
0016756COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer Ann Counseling, LLC Professional CurrentSince Jan 8, 2023 Accepting new patients

Locations

10 Boulder Crescent St
Ste 204A
Colorado Springs, CO 80903
Phone (719) 357-5638

Organizations & group practices 1

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": "1564876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1679128995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 BOULDER CRESCENT ST STE 204A",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809033355",
            "telephone_number": "719-357-5638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 BOULDER CRESCENT ST STE 204A",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809033355",
            "telephone_number": "719-357-5638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHLE",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MS, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-04",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CO",
            "license": "0016638",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "0016756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jennifer@jenniferanncounselingllc.com",
            "affiliation": "N",
            "endpointDescription": "HIPAA Compliant Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "10 Boulder Crescent St Ste 204A",
            "city": "Colorado Springs",
            "state": "CO",
            "country_code": "US",
            "postal_code": "809033355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.