Active NPI
Jessica Allen, PH.D., LP, BCBA
- Clinical Psychologist
- Colorado Springs, CO
National Provider Identifier
1730710054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6219
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1327 | TX | MD | Behavioral Analyst |
| 6219 | CO | MD | Clinical Psychologist |
| 39861 | TX | MD | Clinical 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.