Individual provider Active NPI

Kaitlin Douglas, MS, LMFT

  • Marriage & Family Therapist
  • Fort Collins, CO
National Provider Identifier
1720516230
Registry record updated May 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1378 Issued in CO
Practice address
2625 Redwing Rd Ste 175
Fort Collins, CO 80526-6324
Phone
(970) 613-1315
NPI assigned
May 28, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1378 CO Primary

Addresses

Primary practice location

2625 Redwing Rd Ste 175
Fort Collins, CO 80526-6324

Mailing address

2625 Redwing Rd Ste 175
Fort Collins, CO 80526-6324

Other names 1

  • Kaitlin Jones Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 1, 2024 through Mar 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1378COMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Kaitlin Jones LLC Marriage & Family Therapist Current Accepting new patients

Locations

375 E Horsetooth Rd
Bldg 4201
Fort Collins, CO 80525
Phone (605) 880-3501

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": "1495929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495929600000",
    "number": "1720516230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 REDWING RD STE 175",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805266324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 REDWING RD STE 175",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805266324",
            "telephone_number": "970-613-1315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "KAITLIN",
        "credential": "MS, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-28",
        "last_updated": "2017-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "1378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLIN",
            "last_name": "JONES",
            "credential": "MS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.