Individual provider Active NPI

Jessica Allen, PH.D., LP, BCBA

  • Clinical Psychologist
  • Colorado Springs, CO
National Provider Identifier
1730710054
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6219 Issued in CO
Practice address
2912 Beacon St Ste 110
Colorado Springs, CO 80907-9207
Phone
(719) 377-8030
Fax
(855) 876-2030
NPI assigned
Jan 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 6219 CO
Behavior Analyst 103K00000X 1327 TX
Clinical Psychologist 103TC0700X 39861 TX
Counseling Psychologist 103TC1900X 6219 CO
Clinical Child & Adolescent Psychologist 103TC2200X 6219 CO
Health Service Psychologist 103TH0100X 6219 CO
School Psychologist 103TS0200X 6219 CO
Clinical Psychologist 103TC0700X 6219 CO Primary

Addresses

Primary practice location

2912 Beacon St Ste 110
Colorado Springs, CO 80907-9207

Mailing address

2912 Beacon St Ste 110
Colorado Springs, CO 80907-9207
Phone (214) 701-0158

Other names 1

  • Dr. Jessica Pearson-Allen Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1327TXMDBehavioral Analyst
6219COMDClinical Psychologist
39861TXMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1580083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1730710054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2912 BEACON ST STE 110",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809079207",
            "telephone_number": "214-701-0158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2912 BEACON ST STE 110",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809079207",
            "telephone_number": "719-377-8030",
            "fax_number": "855-876-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "JESSICA",
        "name_prefix": "Dr.",
        "credential": "PH.D., LP, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-27",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CO",
            "license": "6219",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "1327",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "39861",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "CO",
            "license": "6219",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CO",
            "license": "6219",
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "CO",
            "license": "6219",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "CO",
            "license": "6219",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "6219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "PEARSON-ALLEN",
            "prefix": "DR.",
            "credential": "PH.D., LP, BCBA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.