Individual provider Active NPI

John Jurica, PH.D.

  • Counseling Psychologist
  • Fort Collins, CO
National Provider Identifier
1760854665
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
PSY.0005453 Issued in CO
Practice address
3555 Stanford Rd Ste 140
Fort Collins, CO 80525-4680
Phone
(970) 235-1159
NPI assigned
Oct 30, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X PSY.0005453 CO Primary
Counseling Psychologist 103TC1900X 023198 NY

Addresses

Primary practice location

3555 Stanford Rd Ste 140
Fort Collins, CO 80525-4680

Mailing address

3555 Stanford Rd Ste 140
Fort Collins, CO 80525-4680
Phone (970) 235-1159

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 6, 2025 through Dec 6, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY.0005453COMDCounseling Psychologist
023198NYMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Eureka Psychological Services PLLC Counseling Current Accepting new patients

Locations

3555 Stanford Rd
Ste 140
Fort Collins, CO 80525
Phone (720) 727-7154

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": "1446163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1760854665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 STANFORD RD STE 140",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254680",
            "telephone_number": "970-235-1159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 STANFORD RD STE 140",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254680",
            "telephone_number": "970-235-1159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JURICA",
        "first_name": "JOHN",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-30",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "CO",
            "license": "PSY.0005453",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NY",
            "license": "023198",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.