Individual provider Active NPI

Jennifer Stephenson, M.A.

  • Professional Counselor
  • Fort Collins, CO
National Provider Identifier
1699050088
Registry record updated Dec 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0011827 Issued in CO
Practice address
2850 McClelland Dr Ste 3000M
Fort Collins, CO 80525-5206
Phone
(970) 632-3332
Fax
(970) 449-7404
NPI assigned
Oct 17, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X ACD.0000829 CO
Professional Counselor 101YP2500X LPC.0011827 CO Primary

Addresses

Primary practice location

2850 McClelland Dr Ste 3000M
Fort Collins, CO 80525-5206

Mailing address

2850 McClelland Dr Ste 3000M
Fort Collins, CO 80525-5206
Phone (970) 632-3332

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260604003141 CO Practitioner - Clinical Social Worker 4284105818 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2121 Midpoint Dr
Suite 201
Fort Collins, CO 80525-4341

2121 Midpoint Dr
Suite 201
Fort Collins, CO 80525-4367

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
ACD.0000829COMDAddiction (Substance Use Disorder) Counselor
LPC.0011827COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Oz Psychotherapy LLC Addiction (Substance Use Disorder) CurrentSince Dec 29, 2019 Accepting new patients
Turning Point Center for Youth & Family Development, Inc. Past Accepting new patients

Locations

2850 McClelland Dr
Ste 3000M
Fort Collins, CO 80525
Phone (970) 632-3332

Organizations & group practices 3

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": "1318809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577059200000",
    "number": "1699050088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 MCCLELLAND DR STE 3000M",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805255206",
            "telephone_number": "970-632-3332",
            "fax_number": "970-449-7404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 MCCLELLAND DR STE 3000M",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805255206",
            "telephone_number": "970-632-3332",
            "fax_number": "970-449-7404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENSON",
        "first_name": "JENNIFER",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-17",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACD.0000829",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0011827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.